Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2100X | Nurse Practitioner - Acute Care | F430005-1 | NY |
NPI | 1043342819 |
---|---|
Provider Name | Kathleen B Bellizzi |
First Address | Schenectady, NY 12308-2116 |
Second Address | Schenectady, NY 12308-2116 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/03/2007 |
Last Update Date | 21/07/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
P23671 | (02) | NY |