Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARK NISTICO, RN
Active Sole ProprietorMARK NISTICO, RN is a General Practice Nurse healthcare provider located in MALTA, New York. NPI 1225650849 is currently active in the NPPES registry. Verify at CMS.
General Practice Nurse · MALTA, NY
Registration Details
- NPI Number
- 1225650849
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 18, 2020 (6.2793814667023 yrs)
- Last Updated
- May 18, 2020
- License
-
623-121 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
23 MAYAPPLE WAYMALTA, NY, 120204390Browse NY providers · Browse ZIP 12020
- Phone
- 5188184492
- Primary Specialty
-
General Practice Nurse
163WG0000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.