Provider Demographics
NPI:1326197708
Name:FOLEY, ELIZABETH AMY (NNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:ELIZABETH
Middle Name:AMY
Last Name:FOLEY
Suffix:
Gender:F
Credentials:NNP-BC
Other - Prefix:MS
Other - First Name:ELIZABETH
Other - Middle Name:AMY
Other - Last Name:PERRI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NNP-BC
Mailing Address - Street 1:PO BOX 174
Mailing Address - Street 2:
Mailing Address - City:CAIRO
Mailing Address - State:NY
Mailing Address - Zip Code:12413-0174
Mailing Address - Country:US
Mailing Address - Phone:631-553-3488
Mailing Address - Fax:
Practice Address - Street 1:101 NICOLLS RD RM 11-060
Practice Address - Street 2:
Practice Address - City:STONY BROOK
Practice Address - State:NY
Practice Address - Zip Code:11794-3507
Practice Address - Country:US
Practice Address - Phone:631-444-7653
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-09
Last Update Date:2022-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF350172-01363LN0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LN0005XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerNeonatal, Critical Care