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Individual

MS. NICOLE ANN SCHMIDT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
R-PAC

Contact information

Practice address
18 LIMESTONE DRIVE, SUITE 5, WILLIAMSVILLE, NY 14221
(716) 632-1400
(716) 632-5316
Mailing address
18 LIMESTONE DRIVE, SUITE 5, WILLIAMSVILLE, NY 14221
(716) 632-1400
(716) 632-5316

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
010347
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00840455
NY
Enumeration date
06/12/2006
Last updated
09/05/2012
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