| Provider / Organization | NPI | Date Certified |
|---|---|---|
| ELIZABETH MARIE SCALZO | 1780283242 | 2020-10-25 |
Elizabeth Marie Scalzo is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1780283242. Registration indicates Elizabeth Marie Scalzo is a provider of access to adult/geriatric primary care providers services with a specialization in Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner Access to Pediatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Nurse Practitioner: Family, ) (All Other Specialties & Provider Types, ) (Nurse Practitioner Family, Physician Assistants & Advanced Practice Nursing Providers) (Nurse Practitioner, )
| Registration | PART-B:Y DME:Y HHA:Y PMD:Y |
| Entity Type | Individual |
| Provider Name | Ms. Elizabeth Marie Scalzo FNP |
| Practice Office Address | 111 BEACH DR WEST ISLIP, NY US |
| Practice Office Telephone | 3141786006 |
| Practice Office Fax | 6316660684 |
| Mailing Address | 96 HOLST DR W HUNTINGTON, NY 117433940 US |
| Business Telephone | 6317909387 |
| Other URL [] | Brooklyn | Health Information Exchange (HIE) |
| Code | Practice | License No State |
|---|---|---|
| 363LF0000X PRIMARY | Access to Adult/Geriatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Nurse PractitionerAccess to Pediatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Nurse Practitioner: Family All Other Specialties & Provider Types Nurse Practitioner Family Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner | F346401-01
NY |