# MR. PHILIP GUY AMISANO

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1407983604
- **Gender:** Man
- **Credential:** R.N. B.S.N. C.M.T.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WA0400X | Addiction (Substance Use Disorder) Registered Nurse | 168148 | MA | — |
| 163WD0400X | Diabetes Educator Registered Nurse | 168148 | MA | — |
| 163WG0000X | General Practice Registered Nurse | 168148 | MA | — |
| 163WM1400X | Nurse Massage Therapist (NMT) | 168148 | MA | — |
| 163WP0807X | Child & Adolescent Psychiatric/Mental Health Registered Nurse | 168148 | MA | Yes |
| 163WP0808X | Psychiatric/Mental Health Registered Nurse | 168148 | MA | — |

## Other

- **Enumeration date:** 02/27/2007
- **Last updated:** 09/11/2025