NICHOLE R LA MARQUE

ELLIS HOSPITAL

Dr NICHOLE R LA MARQUE is a female medical professional, specializing in Physician Assistant. She graduated in 2018.

Contact

ELLIS HOSPITAL

1101 NOTT ST
EMERGENCY DEPT
SCHENECTADY
NY
123082425

Tel: 5182431916

NICHOLE R LA MARQUE Information

Npi 1255802567
Pac Id 0143561811
Professional Enrollment Id I20190405000814
Last Name LA MARQUE
First Name NICHOLE
Middle Name R
Suffix
Gender F
Credential
Medical School Name OTHER
Graduation Year 2018
Primary Specialty PHYSICIAN ASSISTANT
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name ELLIS HOSPITAL
Group Practice Pac Id 5890607410
Number Of Group Practice Members 279
Line 1 Street Address 1101 NOTT ST
Line 2 Street Address EMERGENCY DEPT
Marker Of Address Line 2 Suppression
City SCHENECTADY
State NY
Zip Code 123082425
Phone Number 5182431916
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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