Individual provider · Type 1 NPI
Joseph Personelli
Pediatric Nurse Practitioner · New York, NY
NPI number
1104658871
Active
Practice location
550 1st Ave
New York, NY 10016-6402
Mailing address
10 Cottage Pl Apt 12F
White Plains, NY 10601-1513
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | 383746 (NY) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1104658871
Joseph Personelli's National Provider Identifier is 1104658871, issued on Aug 20, 2024. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in New York, NY. The record was last updated on Aug 20, 2024.