Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363L00000X | Nurse Practitioner | F370033 | NY |
Y | 363LA2200X | Nurse Practitioner - Adult Health | 26NJ00170900 | NJ |
N | 363LA2200X | Nurse Practitioner - Adult Health | F304332 | NY |
NPI | 1013056209 |
---|---|
Provider Name | Ms. Elizabth Anne Bilotti |
First Address | New York, NY 10023-3303 |
Second Address | Hackensack, NJ 07601-1997 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/02/2007 |
Last Update Date | 09/10/2008 |