Individual provider · Type 1 NPI

Karl Jastine Licuanan Gaa, RN

Addiction (Substance Use Disorder) Registered Nurse · Ithaca, NY

NPI number 1851298913 Active

Practice location

334 W State St
Ithaca, NY 14850-5432

Fax (607) 273-1277

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Registered Nurse Primary 163WA0400X867485 (NY)

Addiction (Substance Use Disorder) Registered Nurse: Definition to come...

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About NPI 1851298913

Karl Jastine Licuanan Gaa, RN's National Provider Identifier is 1851298913, issued on Oct 22, 2026. The primary taxonomy on file is Addiction (Substance Use Disorder) Registered Nurse (163WA0400X), and the practice location is in Ithaca, NY. The record was last updated on Oct 22, 2026.