Aldin Djozo, RN

Individual provider Active NPI Critical Care Medicine Registered Nurse · Frankfort, NY

NPI 1376897801 · NPPES record last updated Nov 6, 2012

Key facts

NPI
1376897801
Entity type
Individual (NPI type 1)
Primary specialty
Critical Care Medicine Registered Nurse 163WC0200X
License
646914 (NY)
Practice address
798 Brockway Rd
Frankfort, NY 13340-4356
Phone
(315) 534-5569
NPI assigned
Nov 6, 2012
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
646914NYMDCritical Care Medicine Registered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine Registered Nurse 163WC0200X 646914 NY Yes

Addresses

Primary practice location

798 Brockway Rd
Frankfort, NY 13340-4356

Mailing address

798 Brockway Rd
Frankfort, NY 13340-4356

Other providers in Frankfort, NY

All providers in Frankfort, NY · Critical Care Medicine Registered Nurse in New York

Sources for this page

Verify at the official NPI Registry.