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Individual

MRS. ROSEANNE NIZZA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
200 ADELAIDE AVE, STATEN ISLAND, NY 10306-3923
(718) 980-1170
(718) 987-1925
Mailing address
200 ADELAIDE AVE, STATEN ISLAND, NY 10306-3923
(718) 980-1170
(718) 987-1925

Taxonomy

Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
236865-1
NY

Other

Enumeration date
03/08/2012
Last updated
03/08/2012
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