Provider Demographics
NPI:1932474905
Name:BISCEGLIE, VINCENZA (RN)
Entity Type:Individual
Prefix:
First Name:VINCENZA
Middle Name:
Last Name:BISCEGLIE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:VINCENZA
Other - Middle Name:
Other - Last Name:FALCONIERE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:149 WELLBROOK AVE
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10314-5142
Mailing Address - Country:US
Mailing Address - Phone:718-698-5081
Mailing Address - Fax:
Practice Address - Street 1:715 OCEAN TER
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10301-4542
Practice Address - Country:US
Practice Address - Phone:718-815-0186
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-09
Last Update Date:2012-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY368087163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool