Individual
DR. PHILIP NIZZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
14 TECHNOLOGY DR, SUITE 10, EAST SETAUKET, NY 11733-3472
(631) 689-5400
(631) 689-8247
Mailing address
14 TECHNOLOGY DR, SUITE 10, EAST SETAUKET, NY 11733-3472
(631) 689-5400
(631) 689-8247
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
211788
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02349264
—
NY
01
—
211788
LICENSE
NY
Enumeration date
08/21/2006
Last updated
03/27/2013
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