AGING WELL RN NP FAMILY HEALTHPLLC NPI 1629202478

NPI Information

NPI: 1629202478
Provider Name: AGING WELL RN NP FAMILY HEALTHPLLC
Classification: Nurse Practitioner - 363LP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
774 MANOR RD
STATEN ISLAND, NY
ZIP 10314
Phone: (718) 496-2542
Get Directions

AGING WELL RN NP FAMILY HEALTHPLLC is a primary care nurse practitioner in Staten Island, NY. AGING WELL RN NP FAMILY HEALTHPLLC NPI is 1629202478. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

774 MANOR RD
STATEN ISLAND, NY
ZIP 10314-038
Phone: (718) 496-2542

The provider's authorized official is Azza A Ezzat .
The authorized official title is President and has the following contact phone number (717) 716-7107.

The enumeration date for this NPI number is 5/7/2009 and was last updated on 7/14/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP2300X	Nurse Practitioner	Primary Care		NEW YORK	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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