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NPI Code Detail

MEDICARE: MARIA RIZZI-IMPASTATO

MEDICARE:   MARIA  RIZZI-IMPASTATO
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
1163W00000XRegistered Nurse869415NY

General Provider Information

NPI Number : 1528765047
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARIA RIZZI-IMPASTATO
Provider Business Mailing Address
First Line : 167 ROLLING HILL GRN
Second Line :
City : STATEN ISLAND
State : NY
Zip : 10312-1817
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 167 ROLLING HILL GRN
Second Line :
City : STATEN ISLAND
State : NY
Zip : 10312-1817
Country : US
Telephone Number : 718-414-5433
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/15/2023
Last Update Date : 05/05/2023

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Directions to “ MARIA RIZZI-IMPASTATO ” Practice Location

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