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NICHOLAS ADAM FANOK RPA-C
NPI 1164455564
Physician Assistant in Poughkeepsie, NY

Active since July 09, 2006
1910 SOUTH RD., POUGHKEEPSIE, NY 12601(845) 454-0120(845) 454-6080 Get Directions Write a Review

NPPES record last updated: September 10, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Nicholas Adam Fanok Rpa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICHOLAS ADAM FANOK RPA-C (NPI 1164455564) is an individual physician assistant in Poughkeepsie, New York, licensed in New York (010226-1) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1164455564
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameNICHOLAS ADAM FANOKCredential: RPA-C
Location Address1910 SOUTH RD.Poughkeepsie, NY 12601-6027
Mailing Address1910 South Rd.Poughkeepsie, NY 12601-6027 · (845) 454-0120 · Fax (845) 454-6080
Phone(845) 454-0120
Fax(845) 454-6080
Sole ProprietorNo
Enumeration DateJuly 9, 2006
Last NPPES UpdateSeptember 10, 2012
✔ NPI 1164455564 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NY · 010226-1
Definition
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.
1910 SOUTH RD., Poughkeepsie, NY 12601
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nicholas Fanok's NPI number?

The NPI number for Nicholas Fanok is 1164455564. It was assigned to this individual provider in the NPPES registry on July 9, 2006.

Where is Nicholas Fanok located?

Nicholas Fanok practices at 1910 South Rd., Poughkeepsie, NY 12601. The listed phone number is (845) 454-0120.

What is Nicholas Fanok's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Nicholas Fanok was last updated on September 10, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.