Individual
NEEVE MARY PERNICIARO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Contact information
Practice address
627 LYDIG AVE, BRONX, NY 10462-2283
(718) 772-0070
Mailing address
180 RIVERSIDE BLVD APT 407, NEW YORK, NY 10069-0804
(631) 626-4286
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
F383565-01
NY
Other
Enumeration date
08/01/2023
Last updated
01/13/2026
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