Search › New York › 183500000X
Kim Fanizza
NPI 1447420567 · on the registry since 2008
Practice
- Address
- 189 Bryant Ave
Staten Island, NY 10306 - Phone
- (718) 979-4585
Registry record
- Primary taxonomy
- 183500000X
183500000X
- Also registered as
- 183500000X
183500000X - Licence states on file
- NY, FL, NJ
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2008-03-04
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York