Individual
MR. NICHOLAS PAUL LATTANZIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
18036 80TH DR, JAMAICA, NY 11432-1532
(347) 277-4001
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
308842
NY
Other
Enumeration date
08/01/2018
Last updated
08/04/2023
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