Provider Demographics
NPI:1942873682
Name:WOLCOWITZ, PIA RACHEL (FNP-BC FNP-C)
Entity Type:Individual
Prefix:
First Name:PIA
Middle Name:RACHEL
Last Name:WOLCOWITZ
Suffix:
Gender:F
Credentials:FNP-BC FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:315 BEACH 9TH ST
Mailing Address - Street 2:
Mailing Address - City:FAR ROCKAWAY
Mailing Address - State:NY
Mailing Address - Zip Code:11691-5596
Mailing Address - Country:US
Mailing Address - Phone:718-471-6000
Mailing Address - Fax:
Practice Address - Street 1:315 BEACH 9TH ST
Practice Address - Street 2:
Practice Address - City:FAR ROCKAWAY
Practice Address - State:NY
Practice Address - Zip Code:11691-5596
Practice Address - Country:US
Practice Address - Phone:718-471-6000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-21
Last Update Date:2021-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF347325-01363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily