Individual
ERICA JOY NICHOLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
220 STEUBEN STREET, MONTOUR FALLS, NY 14865
(607) 319-3131
Mailing address
220 STEUBEN ST, MONTOUR FALLS, NY 14865-9740
(607) 319-3131
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
018090
NY
363AS0400X
Surgical Physician Assistant
Primary
018090
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04073034
—
NY
Enumeration date
11/17/2014
Last updated
03/11/2026
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