Doctor Name: | JESSICA M DIPIETRO |
NPI Number: | 1417105644 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | 304885 |
Business Practice Address: | 2000 Westchester Ave Medical Unit Purchase, NY - 105772530 |
Business Phone Number: | 9142254167 |
Business Fax Number: | 9148859677 |
Mailing Address: | 2000 Westchester Ave, Medical Unit PURCHASE |
State: | NY |
Postal Code: | 105772530 |
Phone Number: | 9142254167 |
Fax Number: | 9148859677 |
NPI Enumeration Date: | 08/29/2008 |
NPI Last Update Date: | 02/13/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | 304885 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |