Individual provider · Type 1 NPI
Luca Gaetano Radomile
Psychiatric/Mental Health Nurse Practitioner · New York, NY
NPI number
1669036851
Active
Practice location
435 E 65th St Apt 9A
New York, NY 10065-6971
Mailing address
4143 Crescent St
Long Island City, NY 11101-3805
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 739000 (NY) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | F402636-1 (NY) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1669036851
Luca Gaetano Radomile's National Provider Identifier is 1669036851, issued on Apr 24, 2019. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in New York, NY. The record was last updated on Aug 12, 2024.