Individual provider · Type 1 NPI

Mark Nistico, RN

General Practice Registered Nurse · Malta, NY

NPI number 1225650849 Active

Practice location

23 Mayapple Way
Malta, NY 12020-4390

Specialties and licenses

TaxonomyCodeLicense
General Practice Registered Nurse Primary 163WG0000X623-121 (NY)

General Practice Registered Nurse: Definition to come...

Another provider at this address

About NPI 1225650849

Mark Nistico, RN's National Provider Identifier is 1225650849, issued on May 18, 2020. The primary taxonomy on file is General Practice Registered Nurse (163WG0000X), and the practice location is in Malta, NY. The record was last updated on May 18, 2020.