Healthcare Provider Details

I. General information

NPI: 1669471330
Provider Name (Legal Business Name): ELENA ANN KUZIN-PALMERI MSN, NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ELENA ANN KUZIN MSN, NP

II. Dates (important events)

Enumeration Date: 07/15/2005
Last Update Date: 09/14/2025
Certification Date: 09/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1901 1ST AVE STE 6C-01
NEW YORK NY
10029-7404
US

IV. Provider business mailing address

2 UNIVERSITY PLZ STE 204
HACKENSACK NJ
07601-6211
US

V. Phone/Fax

Practice location:
  • Phone: 212-423-7212
  • Fax: 212-423-7215
Mailing address:
  • Phone: 516-719-5225
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License NumberF340106-1
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberF300918-1
License Number StateNY
# 3
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number380430-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: