MEDICARE: IRISI NIKOLLA NP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	664266	NY
2	363LF0000X	Family Nurse Practitioner	0000000	NY

General Provider Information

NPI Number	:	1184968430
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	IRISI NIKOLLA NP

Provider Business Mailing Address
First Line	:	533 OVINGTON AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11209-1701
Country	:	US
Telephone Number	:	347-216-7632
Fax Number	:

Provider Business Practice Location Address
First Line	:	129 SENECA ST
Second Line	:
City	:	STATEN ISLAND
State	:	NY
Zip	:	10310-2333
Country	:	US
Telephone Number	:	347-216-7632
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/26/2012
Last Update Date	:	09/05/2023

Similar Medicare Providers

1952546368 — DR. KEVBE APOE BS, MS, PHARMD
Practice Location Address:

111 SENECA ST
STATEN ISLAND, NY
10310-2333

Practice Phone: 347-993-0695
Practice Fax:

1225989874 — MS. CARLOTTA DENINE THOMPSON RN
Practice Location Address:

109 SENECA ST
STATEN ISLAND, NY
10310-2333

Practice Phone: 347-729-3866
Practice Fax:

1831327931 — IBIYEMI OLADIRAN
Practice Location Address:

98 SHERMAN AVE
STATEN ISLAND, NY
10301-2333

Practice Phone: 347-596-4265
Practice Fax:

1932106010 — PERSONAL TOUCH HOME CARE OF NEW YORK, INC
Practice Location Address:

36-36 33RD STREET , SUITE 501
LONG ISLAND CITY, NY
11106-2333

Practice Phone: 718-468-2500
Practice Fax: 718-264-5842

1447182944 — PAOLA RAQUEL ZUNIGA ZUNIGA M.D.
Practice Location Address:

355 BARD AVE, RICHMOND UNIVERSITY MEDICAL CENTER
STATEN ISLAND, NY
10310

Practice Phone: 718-818-1645
Practice Fax:

1275220733 — NKAFU BECHEM NDEMAZIE MD
Practice Location Address:

355 BARD AVE DEPT OF
STATEN ISLAND, NY
10310-1664

Practice Phone: 718-818-2419
Practice Fax:

Directions to “ IRISI NIKOLLA NP” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.