Individual
BITA JALILIZEINALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
520 E 70TH ST, ST-3, NEW YORK, NY 10021-9800
(212) 746-2650
Mailing address
101 NICOLLS ROAD, HSC 18, ROOM 030, Z-8183, STONY BROOK, NY 11794
(631) 444-3577
(631) 444-2112
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F303445
NY
363LA2200X
Adult Health Nurse Practitioner
303445
NY
Other
Enumeration date
03/28/2007
Last updated
04/03/2023
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