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Pauline Izzo, Nurse Practitioner In Family Health PC

Nurse Practitioner, Family in Staten Island, NY. Organization (NPI-2).

NPI number1982203402
StatusActive
Last updated in NPPESOct 26, 2020

Details

NPI
1982203402
Entity type
Organization (NPI-2)
Legal business name
Pauline Izzo, Nurse Practitioner In Family Health PC
Organization subpart
No
Enumeration date
Oct 26, 2020
Certification date
Oct 26, 2020
Last updated
Oct 26, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, Family––Yes

Practice location

544 Darlington Ave
Staten Island, NY 10309-2233

Phone 718-737-8717

Mailing address

544 Darlington Ave
Staten Island, NY 10309-2233

Phone 718-737-8717

Authorized official

Pauline Izzo
NP/Owner
7187378717

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