Provider Demographics
NPI:1437451812
Name:OZIRUS, DENSSIE
Entity Type:Individual
Prefix:MRS
First Name:DENSSIE
Middle Name:
Last Name:OZIRUS
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:DENSSIE
Other - Middle Name:
Other - Last Name:OZIRUS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ANP
Mailing Address - Street 1:1339 E 83RD ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11236-5101
Mailing Address - Country:US
Mailing Address - Phone:917-647-5080
Mailing Address - Fax:
Practice Address - Street 1:1339 E 83RD ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11236-5101
Practice Address - Country:US
Practice Address - Phone:917-647-5080
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-17
Last Update Date:2010-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF305254-1363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health