Provider Demographics
NPI:1629286653
Name:PIZZURRO, JOSEPHINE (RN MS PNP)
Entity Type:Individual
Prefix:MRS
First Name:JOSEPHINE
Middle Name:
Last Name:PIZZURRO
Suffix:
Gender:F
Credentials:RN MS PNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2017 DEER PARK AVE
Mailing Address - Street 2:
Mailing Address - City:DEER PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11729-2721
Mailing Address - Country:US
Mailing Address - Phone:631-586-4766
Mailing Address - Fax:631-586-4219
Practice Address - Street 1:2017 DEER PARK AVE
Practice Address - Street 2:
Practice Address - City:DEER PARK
Practice Address - State:NY
Practice Address - Zip Code:11729-2721
Practice Address - Country:US
Practice Address - Phone:631-586-4766
Practice Address - Fax:631-586-4219
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY381392363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics