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Organization
NICHOLAS LATTANZIO NURSE PRACTITIONER IN ADULT HEALTH PC
Active
Organization
NICHOLAS LATTANZIO NURSE PRACTITIONER IN ADULT HEALTH PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NICHOLAS LATTANZIO NP (OWNER)
(516) 322-4316
Entity
Organization
Contact information
Practice address
112 WICKHAM RD, GARDEN CITY, NY 11530-2516
(516) 322-4316
Mailing address
112 WICKHAM RD, GARDEN CITY, NY 11530-2516
(516) 322-4316
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
—
NULL
363LA2200X
Adult Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
03/02/2026
Last updated
03/02/2026
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