Individual provider · Type 1 NPI
Nicole Rastetter
Specialist · Staten Island, NY
NPI number
1780133561
Active
Practice location
792 Sheldon Ave
Staten Island, NY 10309-2445
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 1075674161 (NY) |
| Specialist | 174400000X | 1018126161 (NY) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1780133561
Nicole Rastetter's National Provider Identifier is 1780133561, issued on Sep 22, 2016. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Staten Island, NY. The record was last updated on Sep 22, 2016.