Individual
DIANA STELLA ORTIZ-PENIZZOTTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
213 MADISON AVE, NEW YORK, NY 10016-3814
(212) 725-0123
(212) 725-3738
Mailing address
3988 49TH ST APT 2M, SUNNYSIDE, NY 11104-1050
(646) 359-0726
(212) 725-3738
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN11016236
FL
363LW0102X
Women's Health Nurse Practitioner
F420905
NY
Other
Enumeration date
06/17/2010
Last updated
04/26/2022
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