Wight, Mary Izzo
Wight, Mary Izzo is an individual health care provider with primary practice located at 1630 E 15Th St Fl 2 , Brooklyn NY 11229-1193. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Other Service Providers / Acupuncturist, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Wight, Mary Izzo can be contacted via phone (646) 477-3779.Contact Information
Primary practice address
1630 E 15Th St Fl 2
Brooklyn NY 11229-1193
Phone: (646) 477-3779
Fax: (914) 220-4231
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Nursing Service Providers / Registered Nurse | 163W00000X | 664500 | New York |
Other Service Providers / Acupuncturist | 171100000X | 25003048 | New York |
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 403071 | New York |
Profile Details
NPI number | 1740347095 |
---|---|
LBN Legal business name | Wight, Mary Izzo |
Credentials | PMHNP, RN, BSN, LAC |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 3rd, 2007 |
Last updated | Oct 21st, 2020 - about 4 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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