SearchNew Jersey163WI0600X

Brett Lastra, RN, BSN

NPI 1417453358 · on the registry since 2018

Practice

Address
1104 Teaneck Rd
Teaneck, NJ 07666
Phone
(201) 833-2400
Fax
(201) 837-0193
Organisation at this address
Mr Of Teaneck Llc
Family Of Caring At Teaneck Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

Additional practice sites

  • 565 Manhattan Ave, New York, NY

Registry record

Primary taxonomy
163WI0600X
163WI0600X
Also registered as
163WH0200X
163W00000X
Licence states on file
NY, NJ
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-06-05

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Jersey