Healthcare Provider Details

I. General information

NPI: 1669709549
Provider Name (Legal Business Name): CAROL BUZINKAI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/12/2009
Last Update Date: 10/28/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

59 WASHINGTON ST
HOBOKEN NJ
07030-4505
US

IV. Provider business mailing address

83 E 28TH ST
BAYONNE NJ
07002-4962
US

V. Phone/Fax

Practice location:
  • Phone: 201-798-1889
  • Fax:
Mailing address:
  • Phone: 201-858-4671
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number26NJ00193200
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: