IndividualActive
Alexandra Nickerson, PA-C
NPI 1982401618 · Physician Assistant · Long Island City, NY
Provider details
- NPI number
- 1982401618
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1041 47th Ave
Long Island City, NY 11101-5416
Phone: (212) 385-3700
Approximate (ZIP-level) locationGet directions
Mailing address
1027 46th Ave Fl 3
Long Island City, NY 11101-5245
Registry dates
- Enumerated
- 2025-02-28
- Last updated
- 2025-11-19
- Certified
- 2025-11-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.