PAULINE IZZO FNP NPI 1659878213

NPI Information

Pauline Izzo, FNP is a family nurse practitioner in Staten Island, NY. Pauline Izzo, FNP NPI is 1659878213. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

544 DARLINGTON AVE
STATEN ISLAND, NY
ZIP 10309
Phone: (718) 737-8717

The NPI 1659878213 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The CLIA number assigned to this NPI record is 33D2250532 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/10/2018 and was last updated on 5/17/2018.

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:

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