Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

MS. Nicole Rastetter

Individual provider Specialist · NPI 1780133561

MS. Nicole Rastetter is a Specialist in Staten Island, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2016
Specialties on file
2

Practice location Address checks out

792 Sheldon Ave
Staten Island, NY 10309-2445
Phone: (718) 948-8702
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 1075674161 (NY)
Specialist Taxonomy 174400000X · Licence 1018126161 (NY)

Record details

NPI number1780133561
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 22, 2016
Last updated in NPPESSeptember 22, 2016

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