Doctor Name: | MRS. VIRGINIA AZZARITI |
NPI Number: | 1023109485 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CPNP |
License Number: | 26NN03577100 |
Business Practice Address: | 870 Palisade Avenue Suite 201 Teaneck, NJ - 07666 |
Business Phone Number: | 2016921661 |
Business Fax Number: | 2016929219 |
Mailing Address: | 870 Palisade Avenue, Suite 201 TEANECK |
State: | NJ |
Postal Code: | 07666 |
Phone Number: | 2016921661 |
Fax Number: | 2016929219 |
NPI Enumeration Date: | 09/28/2006 |
NPI Last Update Date: | 01/18/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0200X |
License Number: | 26NN03577100 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |