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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. MARY ELLEN ITZKOWITZ, BS

Active Sole Proprietor

MRS. MARY ELLEN ITZKOWITZ, BS is a Community Health Worker healthcare provider located in OCEANSIDE, New York. NPI 1255566329 is currently active in the NPPES registry. Verify at CMS.

Community Health Worker · OCEANSIDE, NY

Registration Details

NPI Number
1255566329
Provider Type
Individual
Gender
Female
NPI Issued
May 19, 2009 (17.244979765469 yrs)
Last Updated
May 19, 2009
Sole Proprietor
Yes

Practice Information

Address
159 BYRD ST
OCEANSIDE, NY, 115725503
Browse NY providers · Browse ZIP 11572
Phone
5167668923
Fax
5167668923
Primary Specialty
Community Health Worker
172V00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.