Provider Demographics
NPI:1770315186
Name:D'AMATO, NAHOMIE (FNP)
Entity type:Individual
Prefix:
First Name:NAHOMIE
Middle Name:
Last Name:D'AMATO
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:548 51ST AVE APT 2L
Mailing Address - Street 2:
Mailing Address - City:LONG ISLAND CITY
Mailing Address - State:NY
Mailing Address - Zip Code:11101-5821
Mailing Address - Country:US
Mailing Address - Phone:718-450-7876
Mailing Address - Fax:
Practice Address - Street 1:548 51ST AVE APT 2L
Practice Address - Street 2:
Practice Address - City:LONG ISLAND CITY
Practice Address - State:NY
Practice Address - Zip Code:11101-5821
Practice Address - Country:US
Practice Address - Phone:718-450-7876
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-14
Last Update Date:2024-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF354406-01363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily