person
Nicole Dizenzo
Medical Physician Assistant in New York, New York
NPI 1700576816

Nicole Dizenzo is a Medical Physician Assistant based in New York, NY and is specialized in Medical. Nicole Dizenzo practices in New York, NY. The NPI Number for Nicole Dizenzo is 1700576816 and holds a License No. (New York).

The current practice location address for Nicole Dizenzo is 177 Fort Washington Ave, New York, NY and can be reached out via phone at 212-305-2500.

Location: 177 Fort Washington Ave, New York, NY, 10032-3733
person
Provider Profile Details
NPI Number
1700576816
Provider Name
Nicole Dizenzo
Credential
Provider Entity Type
Individual
Gender
Female
Address
177 Fort Washington Ave, New York, NY, 10032-3733
Phone Number
212-305-2500
Fax Number
Provider Enumeration Date
05/11/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
177 Fort Washington Ave
City
State
Zip
10032-3733
Phone Number
212-305-2500
Fax Number
person
Provider Business Mailing Address Details
Address
177 Fort Washington Ave
City
State
Zip
10032-3733
Phone Number
212-305-2500
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
()
Definition
Definition to come...
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