Healthcare Provider Details

I. General information

NPI: 1245214170
Provider Name (Legal Business Name): DANA L. INZEO NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/05/2005
Last Update Date: 06/11/2021
Certification Date: 06/11/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

375 ROUTE 10
WHIPPANY NJ
07981-2115
US

IV. Provider business mailing address

7 VIRGINIA ST
NEW CITY NY
10956-3024
US

V. Phone/Fax

Practice location:
  • Phone: 973-210-3838
  • Fax:
Mailing address:
  • Phone: 458-721-3790
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number26NJ00078500
License Number StateNJ
# 2
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberF302379
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: