Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
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Mrs. Nicola Marie Medrano, PA-C

Individual provider Physician Assistant · NPI 1679771166

Mrs. Nicola Marie Medrano, PA-C is a Physician Assistant in New York, New York. Licensed in New York. Registered with an NPI since 2007.

Licensed in
NY
In the registry since
2007
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

177 Fort Washington Ave 8 South Knuckle
New York, NY 10032-3733 Not confirmed with CMS for 11 years — call before visiting
Phone: (212) 305-5138
Fax: (212) 305-1163
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 011895 (NY)

Record details

NPI number1679771166
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 5, 2007
Last updated in NPPESSeptember 18, 2015

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