Individual provider · Type 1 NPI
Reina Joy Mizukoshi
Pediatric Nurse Practitioner · Bronx, NY
NPI number
1710757265
Active
Practice location
1400 Pelham Pkwy S
Bronx, NY 10461-1138
Mailing address
1991 Broadway Apt 12A
New York, NY 10023-5827
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Neonatal Intensive Care Registered Nurse | 163WN0002X | 829659 (NY) |
| Pediatric Nurse Practitioner Primary | 363LP0200X | F383578 (NY) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1710757265
Reina Joy Mizukoshi's National Provider Identifier is 1710757265, issued on Jan 5, 2024. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Bronx, NY. The record was last updated on Jan 5, 2024.