Nizza, Philip

Nizza, Philip is an individual health care provider with primary practice located at 14 Technology Dr Suite 10, East Setauket NY 11733-3472. He recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as his primary health care specialty. Nizza, Philip can be contacted via phone (631) 689-5400.

Contact Information

Primary practice address
14 Technology Dr Suite 10 East Setauket NY 11733-3472
Phone: (631) 689-5400
Fax: (631) 689-8247
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 211788 New York

Profile Details

NPI number 1912012410
LBN Legal business name Nizza, Philip
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 21st, 2006
Last updated Mar 27th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912012410 NPPES
New York Other 211788 LICENSE
New York MEDICAID 02349264 LICENSE

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