MR. NICHOLAS PAUL LATTANZIO


Address: 650 Commack Rd, Commack, NY 11725-5404
Phone: 6316234000

MR. NICHOLAS PAUL LATTANZIO (NPI# 1255819249) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1255819249
Entity Type Individual
Full Name MR. NICHOLAS PAUL LATTANZIO
Credential NP
Practice Address 650 Commack Rd
Commack
NY 11725-5404
Mailing Address 990 First Ave
Franklin Square
NY 11010-1920
Practice Telephone 6316234000
Mailing Telephone 5163224316
Enumeration Date 2018-08-01
Last Update Date 2018-08-01
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2200X Nurse Practitioner
Specialization: Adult Health
308842 NY Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 650 COMMACK RD
City COMMACK
State NY
Zip Code 11725-5404

Providers in the same location

NPI Name Taxonomy Address Enumeration
1558341982 Tiffany Troso-sandoval Internal Medicine 650 Commack Rd, Commack, NY 11725-5404 2006-01-20
1255976908 Christine Hendriks Pharmacist 650 Commack Rd, Commack, NY 11725-5404 2019-11-16
1245702059 Eileen Kilgus-reid Nurse Practitioner 650 Commack Rd, Commack, NY 11725 2018-12-19
1750868295 Melissa Koziatek Nurse Practitioner 650 Commack Rd, Commack, NY 11725-5404 2018-07-27
1841777307 Sarah Jane Ray Nurse Practitioner 650 Commack Rd, Commack, NY 11725-5404 2018-07-26
1477039550 Dana D'aconti Nurse Practitioner 650 Commack Rd, Commack, NY 11725-5404 2018-07-12
1215429659 Serena Kuriakose Pharmacist 650 Commack Rd, Commack, NY 11725-5404 2018-06-01
1124555271 Eileen Jackson Nurse Practitioner 650 Commack Rd, Commack, NY 11725-5404 2017-05-20
1922549369 Frank A Surita Pharmacist 650 Commack Rd, Commack, NY 11725-5404 2017-03-18
1629514674 Barbara Ferrara Nurse Practitioner 650 Commack Rd, Commack, NY 11725-5404 2017-01-15
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1699322131 Amanda Grace Acebedo Student in an Organized Health Care Education/Training Program 785 Larkfield Rd, Commack, NY 11725 2019-08-20
1922667716 Diana Mcnamara Social Worker 13 Audrey Lane, Commack, NY 11725 2019-06-06
1821504333 Amy Koenig Specialist 787 Larkfield Rd, Commack, NY 11725 2017-12-19
1437661501 Commack Chemist Inc Pharmacy 6216 Jericho Turnpike, Commack, NY 11725 2017-10-30
1285168880 Stephanie Arico Counselor 14 Silver Pond Cir, Commack, NY 11725 2017-04-20
1235684432 Ams Primary Medical Care House Calls,pc Home Health 6277 Jericho Tpk, Commack, NY 11725 2016-08-18
1376927459 Min Sun Park Dentist All About Smiles Pediatric Dentistry, 5036 Jericho Turnpike Suite #307, Commack, NY 11725 2015-07-17
1467843748 Joanna Keegan Pharmacy Technician 98 Veterans Memorial Highway, Commack, NY 11725 2015-02-09
1275936841 Jennie Bernstein Social Worker 368 Veterans Hwy Ste 2, Commack, NY 11725 2014-09-26
1417362021 Diana Matira Yildirim Pediatrics 646 Commack Road, Commack, NY 11725 2014-06-23
Find all providers in zip 11725

Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1487262887 Arielle Ashley Schwimmer Nurse Practitioner 47 Wesleyan Rd, Commack, NY 11725-2531 2020-07-21
1659852374 Irene Raphael Nurse Practitioner 66 Commack Rd Ste 20018, Commack, NY 11725-3405 2018-08-22
1942755830 Maryam Abubakar Nurse Practitioner 6080 Jericho Tpke Ste 314, Commack, NY 11725-2808 2016-08-20
1710328760 Bethany H Kennedy Nurse Practitioner 2171 Jericho Tpke Ste 135, Commack, NY 11725-2947 2013-07-07
1033462312 Sandra M Roth Nurse Practitioner 52 Radburn Dr, Commack, NY 11725-1129 2012-10-23
1669768255 Tanima Yaibuathes Nurse Practitioner 149 Commack Rd Ste A, Commack, NY 11725-3459 2011-06-22
1285756957 Denyse Marie Hilsby Nurse Practitioner 81 Mall Dr, Commack, NY 11725-5703 2007-04-04
1902431422 Laura Anne Fox Nurse Practitioner 6080 Jericho Tpke Ste 314, Commack, NY 11725-2808 2020-03-04
1053887562 Ann Marie Perrino Nurse Practitioner 68 Hauppauge Rd, Commack, NY 11725-4431 2018-10-23
1750868295 Melissa Koziatek Nurse Practitioner 650 Commack Rd, Commack, NY 11725-5404 2018-07-27
Find all providers in COMMACK

Competitor

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City COMMACK
Zip Code 11725

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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