Individual provider · Type 1 NPI

Dominic Don Kalathivila

Nurse Practitioner · New York, NY

NPI number 1326777434 Active

Practice location

1 Pace Plz
New York, NY 10038-1598

Call (866) 722-3338 Map

Mailing address

605 Lowell Ave
New Hyde Park, NY 11040-3016

Specialties and licenses

Taxonomy	Code	License
Nurse Practitioner Primary	363L00000X	349267 (NY)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1326777434

Dominic Don Kalathivila's National Provider Identifier is 1326777434, issued on Jun 6, 2022. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in New York, NY. The record was last updated on Jun 6, 2022.