Provider Demographics
NPI:1467296434
Name:VIZZI, BRIANA (DOULA)
Entity type:Individual
Prefix:
First Name:BRIANA
Middle Name:
Last Name:VIZZI
Suffix:
Gender:F
Credentials:DOULA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6630 74TH ST
Mailing Address - Street 2:
Mailing Address - City:MIDDLE VILLAGE
Mailing Address - State:NY
Mailing Address - Zip Code:11379-2230
Mailing Address - Country:US
Mailing Address - Phone:914-414-1115
Mailing Address - Fax:
Practice Address - Street 1:6630 74TH ST
Practice Address - Street 2:
Practice Address - City:MIDDLE VILLAGE
Practice Address - State:NY
Practice Address - Zip Code:11379-2230
Practice Address - Country:US
Practice Address - Phone:914-414-1115
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-24
Last Update Date:2024-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula