Provider Demographics
NPI:1043401417
Name:NUZIO, KAREN ELISE (PHYSICIAN ASSISTANT)
Entity Type:Individual
Prefix:MISS
First Name:KAREN
Middle Name:ELISE
Last Name:NUZIO
Suffix:
Gender:F
Credentials:PHYSICIAN ASSISTANT
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Mailing Address - Street 1:926 WINDMILL AVE
Mailing Address - Street 2:STE D
Mailing Address - City:WEST BABYLON
Mailing Address - State:NY
Mailing Address - Zip Code:11704-4414
Mailing Address - Country:US
Mailing Address - Phone:631-605-2330
Mailing Address - Fax:
Practice Address - Street 1:120 BETHPAGE RD
Practice Address - Street 2:
Practice Address - City:HICKSVILLE
Practice Address - State:NY
Practice Address - Zip Code:11801-1515
Practice Address - Country:US
Practice Address - Phone:516-822-6655
Practice Address - Fax:516-214-8072
Is Sole Proprietor?:No
Enumeration Date:2007-08-09
Last Update Date:2017-02-01
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY011949363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical