Individual provider · Type 1 NPI
Vladimir Hantatuc, PMHNP
Psychiatric/Mental Health Nurse Practitioner · Syracuse, NY
NPI number
1366160624
Active
Practice location
620 Erie Blvd W
Syracuse, NY 13204-2445
Mailing address
304 Idlewood Blvd
Baldwinsville, NY 13027-3124
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | F404179-01 (NY) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1366160624
Vladimir Hantatuc, PMHNP's National Provider Identifier is 1366160624, issued on Aug 22, 2022. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Syracuse, NY. The record was last updated on Aug 22, 2022.