Provider Demographics
NPI:1538818240
Name:PIACENTE, PATRICIA JOY (FNP)
Entity type:Individual
Prefix:MISS
First Name:PATRICIA
Middle Name:JOY
Last Name:PIACENTE
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6301 RIVERDALE AVE
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10471-1093
Mailing Address - Country:US
Mailing Address - Phone:914-382-9397
Mailing Address - Fax:
Practice Address - Street 1:6301 RIVERDALE AVE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10471-1093
Practice Address - Country:US
Practice Address - Phone:914-382-9397
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-21
Last Update Date:2022-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY348613163WP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0200XNursing Service ProvidersRegistered NursePediatrics