Ms Nitzia Distance, RN | |
23 Victoria Cir, E Patchogue, NY 11772-4530 | |
(917) 340-3216 | |
Not Available |
Full Name | Ms Nitzia Distance |
---|---|
Gender | Female |
Speciality | Registered Nurse |
Location | 23 Victoria Cir, E Patchogue, New York |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1629544713 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 593599 (New York) | Primary |
Mailing Address | Practice Location Address |
---|---|
Ms Nitzia Distance, RN 23 Victoria Cir, East Patchogue, NY 11772-4530 Ph: (917) 340-3216 | Ms Nitzia Distance, RN 23 Victoria Cir, E Patchogue, NY 11772-4530 Ph: (917) 340-3216 |
Ms. Candyce Fahner, RN IBCLC Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 22 Haig Ave, E Patchogue, NY 11772 Phone: 631-730-2993 | |
Mr. Richard John Tafe, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 214 S Dunton Ave, E Patchogue, NY 11772 Phone: 631-654-5052 |