# NICHOLAS LATTANZIO NURSE PRACTITIONER IN ADULT HEALTH PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295680700
- **Authorized official:** MR. NICHOLAS LATTANZIO NP (OWNER)
- **Authorized official phone:** (516) 322-4316

## Contact information

- **Practice address:** 112 WICKHAM RD, GARDEN CITY, NY 11530-2516
- **Practice address phone:** (516) 322-4316
- **Mailing address:** 112 WICKHAM RD, GARDEN CITY, NY 11530-2516
- **Mailing address phone:** (516) 322-4316

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LA2200X | Adult Health Nurse Practitioner | — | NULL | Yes |
| 363LA2200X | Adult Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 03/02/2026
- **Last updated:** 03/02/2026