NYCOLE BRONG (NPI# 1790765741) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790765741 |
| Entity Type | Individual |
| Full Name | NYCOLE BRONG |
| Other Name | NYCOLE AGNELLO |
| Credential | PA |
| Practice Address |
207 Commerce Dr Amherst NY 14228-2302 |
| Mailing Address |
462 Grider St Erie County Medical Center Buffalo NY 14215-3021 |
| Practice Telephone | 7166891901 |
| Mailing Telephone | 7168983525 |
| Enumeration Date | 2006-01-18 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 008156 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02343795 | 05 |
| Street Address |
207 COMMERCE DR |
| City | AMHERST |
| State | NY |
| Zip Code | 14228-2302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801876859 | Ehsan Afshani | Radiology | 207 Commerce Dr, Amherst, NY 14228-2302 | 2006-01-18 |
| 1891748448 | Christian Kivi | General Practice | 207 Commerce Dr, Amherst, NY 14228-2302 | 2006-05-17 |
| 1700866753 | Lalarukh Aftab | Pathology | 207 Commerce Dr, Amherst, NY 14228-2302 | 2006-01-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902463730 | Kristen Elizabeth Brush | Physical Therapist | 2330, 2360 Sweet Home Road 1-2, Buffalo, NY 14228 | 2019-05-28 |
| 1083186597 | Denise Perry | Registered Nurse | 92 John Muer Dr., Buffalo, NY 14228 | 2018-12-21 |
| 1841789351 | Parris Antonette Skipper | Licensed Practical Nurse | 251 Travers Circle, Appt D, Amherst, NY 14228 | 2018-05-10 |
| 1760900377 | Andria Darel | Counselor | 780 Ridege Rd., Lackawanna, NY 14228 | 2017-09-03 |
| 1447786579 | Bright Smiles Orthodontics | Dentist | 2005 Niagara Falls Blvd., Amherst, NY 14228 | 2017-05-10 |
| 1679006332 | Arianna Bordonaro | Chiropractor | 2800 Sweet Home Rd Ste 1, Amherst, NY 14228 | 2017-04-09 |
| 1043763808 | Alisha Patel | Student in an Organized Health Care Education/Training Program | 1880 Sweet Home Rd Apt 132, Amherst, NY 14228 | 2016-07-28 |
| 1629467345 | Christian Michael Duquin | Chiropractor | 3950 E Robinson Rd Ste 109, Amherst, NY 14228 | 2015-01-19 |
| 1467854695 | Compassionate Hands Home & Nursing Home Care | Home Health | 224 Travers Circle Apt A, Buffalo, NY 14228 | 2014-09-18 |
| 1720498306 | Ashley M Yazdani | Pediatrics | 3950 East Robinson Road, Suite 205, West Amherst, NY 14228 | 2014-05-05 |
| Find all providers in zip 14228 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053926808 | Tiffany Teresa Kalisz | Physician Assistant | 78 Lawnwood Dr, Amherst, NY 14228-1603 | 2020-09-09 |
| 1528611852 | India Younger | Physician Assistant | 4498 Main St Ste 23, Amherst, NY 14226-3826 | 2019-07-16 |
| 1104355973 | Kelly Kaczor | Physician Assistant | 4955 N Bailey Ave Ste 202, Amherst, NY 14226-1206 | 2017-06-06 |
| 1013337807 | Sara Fritsch | Physician Assistant | 3915 Sheridan Dr, Amherst, NY 14226 | 2014-04-21 |
| 1770686859 | Michael N. Brown | Physician Assistant | 29 Cottage St Ste B, Amherst, MA 01002-2178 | 2006-09-06 |
| 1801895271 | Linda S Tosetto | Physician Assistant | 3980 Sheridan Dr, 6th Floor, Amherst, NY 14226-1727 | 2005-07-19 |
| 1407852973 | Allyson Laetita Kirk | Physician Assistant | 500 Corporate Pkwy, Suite 100, Amherst, NY 14226-1263 | 2005-06-21 |
| 1447875869 | Jenna Marie Toy | Physician Assistant | 3925 Sheridan Dr, Amherst, NY 14226-1738 | 2020-06-11 |
| 1700409893 | Casey Anne Mckittrick | Physician Assistant | 170 University Dr, Amherst, MA 01002-2247 | 2020-05-22 |
| 1467093658 | Matthew Krempholtz | Physician Assistant | 3925 Sheridan Dr, Amherst, NY 14226-1738 | 2019-09-30 |
| Find all providers in AMHERST | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.