Individual
MRS. PATRICIA DISCENZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
475 SEAVIEW AVE, STATEN ISLAND, NY 10305-3436
(718) 226-9000
Mailing address
5 SHORT HILLS BLVD, JACKSON, NJ 08527-4882
(732) 833-6949
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
26NN06583800
NJ
363LP0200X
Pediatric Nurse Practitioner
Primary
F380661
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6629601
—
NJ
Enumeration date
11/04/2005
Last updated
04/21/2008
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