Individual
MS. JACQUELYN NUZZI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
791 FORT SALONGA RD, NORTHPORT, NY 11768-3150
(516) 317-2499
Mailing address
791 FORT SALONGA RD, NORTHPORT, NY 11768-3150
(516) 317-2499
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
018444
NY
Other
Enumeration date
09/22/2022
Last updated
09/22/2022
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