Luca Gaetano Radomile, | |
4143 Crescent St, Long Island City, NY 11101-3805 | |
(718) 784-2240 | |
Not Available |
Full Name | Luca Gaetano Radomile |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 5 Years |
Location | 4143 Crescent St, Long Island City, New York |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1669036851 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 739000 (New York) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | F402636-1 (New York) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Metropolitan Center For Mental Health Inc | 6709798978 | 14 |
Entity Name | Metropolitan Center For Mental Health Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275695371 PECOS PAC ID: 6709798978 Enrollment ID: O20031105000310 |
Entity Name | The Floating Hospital Inc |
---|---|
Entity Type | Part B Supplier - Voluntary Health/charity Agency |
Entity Identifiers | NPI Number: 1306954631 PECOS PAC ID: 0547367120 Enrollment ID: O20070515000559 |
Mailing Address | Practice Location Address |
---|---|
Luca Gaetano Radomile, 4143 Crescent St, Long Island City, NY 11101-3805 Ph: () - | Luca Gaetano Radomile, 4143 Crescent St, Long Island City, NY 11101-3805 Ph: (718) 784-2240 |
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