Provider Demographics
NPI:1306827217
Name:POSILLICO, JOSEPHINE ANNA (NP)
Entity Type:Individual
Prefix:
First Name:JOSEPHINE
Middle Name:ANNA
Last Name:POSILLICO
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:62 JEFFERSON AVE
Mailing Address - Street 2:
Mailing Address - City:ISLIP TERRACE
Mailing Address - State:NY
Mailing Address - Zip Code:11752-2607
Mailing Address - Country:US
Mailing Address - Phone:631-444-1242
Mailing Address - Fax:631-444-1235
Practice Address - Street 1:STONY BROOK UNIV.HOSPITAL-RM.15-082
Practice Address - Street 2:NICHOLLS RD
Practice Address - City:STONY BROOK
Practice Address - State:NY
Practice Address - Zip Code:11794-0001
Practice Address - Country:US
Practice Address - Phone:631-444-1242
Practice Address - Fax:631-444-1235
Is Sole Proprietor?:No
Enumeration Date:2005-11-08
Last Update Date:2008-10-23
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NYF340136-1363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology