Individual
MS. ELIZABETH MARY MUSTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNPC
Contact information
Practice address
1 PENN PLZ FL 8, OPTUM, NEW YORK, NY 10119-0899
(347) 219-0784
(212) 216-6606
Mailing address
1113 RHINELANDER AVE, BRONX, NY 10461-1309
(718) 792-2123
(718) 828-0145
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F331529
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1917624
—
NY
01
—
98V361
MEDICARE ID
NY
Enumeration date
02/22/2007
Last updated
07/29/2015
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