Provider Demographics
NPI:1144568130
Name:PIZZI, ROSE SANTINA (ANP-BC)
Entity Type:Individual
Prefix:MS
First Name:ROSE
Middle Name:SANTINA
Last Name:PIZZI
Suffix:
Gender:F
Credentials:ANP-BC
Other - Prefix:MS
Other - First Name:ROSE
Other - Middle Name:S
Other - Last Name:PIZZI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:NP
Mailing Address - Street 1:13 WILLIAM ST
Mailing Address - Street 2:
Mailing Address - City:SPARKILL
Mailing Address - State:NY
Mailing Address - Zip Code:10976-1221
Mailing Address - Country:US
Mailing Address - Phone:973-204-9161
Mailing Address - Fax:
Practice Address - Street 1:385 HOOKER AVE
Practice Address - Street 2:
Practice Address - City:POUGHKEEPSIE
Practice Address - State:NY
Practice Address - Zip Code:12603-3626
Practice Address - Country:US
Practice Address - Phone:845-454-5000
Practice Address - Fax:845-454-3726
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-25
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00400200163WG0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice