Provider Demographics
NPI:1376290643
Name:CANTAMESSA, PATTI (DNP, MS, RN)
Entity Type:Individual
Prefix:DR
First Name:PATTI
Middle Name:
Last Name:CANTAMESSA
Suffix:
Gender:F
Credentials:DNP, MS, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:75 CENTERSHORE RD
Mailing Address - Street 2:
Mailing Address - City:CENTERPORT
Mailing Address - State:NY
Mailing Address - Zip Code:11721-1552
Mailing Address - Country:US
Mailing Address - Phone:631-834-9427
Mailing Address - Fax:
Practice Address - Street 1:75 CENTERSHORE RD
Practice Address - Street 2:
Practice Address - City:CENTERPORT
Practice Address - State:NY
Practice Address - Zip Code:11721-1552
Practice Address - Country:US
Practice Address - Phone:631-834-9427
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-07
Last Update Date:2022-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY473808163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse