Wight, Mary Izzo

Wight, Mary Izzo is an individual health care provider with primary practice located at 1630 E 15Th St Fl 2 , Brooklyn NY 11229-1193. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Other Service Providers / Acupuncturist, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Wight, Mary Izzo can be contacted via phone (646) 477-3779.

Contact Information

Primary practice address
1630 E 15Th St Fl 2 Brooklyn NY 11229-1193
Phone: (646) 477-3779
Fax: (914) 220-4231
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 664500 New York
Other Service Providers / Acupuncturist 171100000X 25003048 New York
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 403071 New York

Profile Details

NPI number 1740347095
LBN Legal business name Wight, Mary Izzo
Credentials PMHNP, RN, BSN, LAC
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 3rd, 2007
Last updated Oct 21st, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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