Individual
TESSA NICHOLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 ATWELL RD, COOPERSTOWN, NY 13326-1301
(607) 547-3456
Mailing address
1 ATWELL RD, COOPERSTOWN, NY 13326-1301
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
036166
NY
363AM0700X
Medical Physician Assistant
—
NY
Other
Enumeration date
07/09/2026
Last updated
08/11/2026
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