Ms Mary Izzo Wight, PMHNP, RN, BSN, LAC - Nurse Practitioner in Brooklyn, NY

Ms Mary Izzo Wight, PMHNP, RN, BSN, LAC is a Nurse Practitioner - Psychiatric/mental Health based in Brooklyn, New York. Ms Mary Izzo Wight is licensed to practice in New York (license number 403071) and her current practice location is 1630 E 15th St Fl 2, Brooklyn, New York. She can be reached at her office (for appointments etc.) via phone at (646) 477-3779.

NPI number for Ms Mary Izzo Wight is 1740347095 and her current mailing address is 229 E 8th St # 3, Brooklyn, New York. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1740347095.

Contact Information

Ms Mary Izzo Wight, PMHNP, RN, BSN, LAC
1630 E 15th St Fl 2,
Brooklyn, NY 11229-1193
(646) 477-3779
(914) 220-4231

Map and Direction




Provider's Profile

Full NameMs Mary Izzo Wight
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location1630 E 15th St Fl 2, Brooklyn, New York
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1740347095
  • Provider Enumeration Date: 01/03/2007
  • Last Update Date: 10/21/2020

Medical Identifiers

Medical identifiers for Ms Mary Izzo Wight such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1740347095NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 664500 (New York)Secondary
171100000XAcupuncturist 25003048 (New York)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 403071 (New York)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Mary Izzo Wight is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ms Mary Izzo Wight, PMHNP, RN, BSN, LAC
229 E 8th St # 3,
Brooklyn, NY 11218-3303

Ph: (718) 483-5515
Ms Mary Izzo Wight, PMHNP, RN, BSN, LAC
1630 E 15th St Fl 2,
Brooklyn, NY 11229-1193

Ph: (646) 477-3779

Reviews and Comments


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