Ms. Nicole Rastetter
Specialist in Staten Island, New York
1780133561- Practice location
- 792 Sheldon Ave, Staten Island, NY 10309-2445
- Phone
- 718-948-8702
- Fax
- —
- Last updated
- September 22, 2016
Nicole Rastetter is a Specialist based in Staten Island, NY. Nicole Rastetter practices in Staten Island, NY. The NPI Number for Nicole Rastetter is 1780133561 and holds a License No. 1075674161 (NY). The current practice location address for Nicole Rastetter is 792 Sheldon Ave, Staten Island, NY 10309-2445 and can be reached out via phone at 718-948-8702.
Provider Profile Details
- NPI Number
- 1780133561
- Provider Name
- Nicole Rastetter
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 792 Sheldon Ave, Staten Island, NY 10309-2445
- Phone Number
- 718-948-8702
- Primary Taxonomy
- Specialist · 174400000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- September 22, 2016
- Last Update Date
- September 22, 2016
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 792 Sheldon Ave
Staten Island, NY 10309-2445 - City
- Staten Island
- State
- New York
- Zip
- 10309-2445
- Phone Number
- 718-948-8702
Provider Business Mailing Address Details
- Address
- 792 Sheldon Ave
Staten Island, NY 10309-2445 - City
- Staten Island
- State
- NY
- Zip
- 10309-2445
- Phone Number
- 718-948-8702
License Information
- License Number (1)
- 1075674161
- License State (1)
- NY
- Taxonomy (1)
- Specialist · 174400000X · Primary
- License Number (2)
- 1018126161
- License State (2)
- NY
- Taxonomy (2)
- Specialist · 174400000X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Specialists near Staten Island, NY
View all Specialists in Staten Island →Frequently Asked Questions
What is the NPI number of Ms. Nicole Rastetter?
The NPI number of Ms. Nicole Rastetter is 1780133561. It was assigned on September 22, 2016 and is currently active in the NPPES registry.
What is the specialty of Ms. Nicole Rastetter?
Ms. Nicole Rastetter is registered under the primary taxonomy Specialist (code 174400000X), licensed in NY under license number 1075674161.
Where does Ms. Nicole Rastetter practice?
The practice location is 792 Sheldon Ave, Staten Island, NY 10309-2445. The office can be reached at 718-948-8702 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1780133561 directly on the NPPES registry website.