Individual
NICHOLAS TYLER ZELIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
10 HAGEN DR STE 300, ROCHESTER, NY 14625-2660
(585) 922-9770
Mailing address
6 VALLEY VIEW CIR, VICTOR, NY 14564-1274
(716) 771-8438
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
021272-01
NY
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
08/22/2017
Last updated
01/12/2026
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