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ELIZABETH VILLAVICENCIO NURSE PRACT
NPI 1790772010
Nurse Practitioner - Pediatrics in Staten Island, NY

Active since October 03, 2005
347 EDISON ST, STATEN ISLAND, NY 10306(718) 351-1136(718) 667-9711 Get Directions Write a Review

NPPES record last updated: November 9, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Elizabeth Villavicencio Nurse Pract NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELIZABETH VILLAVICENCIO NURSE PRACT (NPI 1790772010) is an individual pediatrics provider in Staten Island, New York, licensed in New York (F3814531) and active in the NPI registry since October 2005.

NPPES Registry Identity

NPI1790772010
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameELIZABETH VILLAVICENCIOCredential: NURSE PRACT
Location Address347 EDISON STStaten Island, NY 10306-3034
Mailing Address2031 Forest AveStaten Island, NY 10303-1796
Phone(718) 351-1136
Fax(718) 667-9711
Sole ProprietorNo
Enumeration DateOctober 3, 2005
Last NPPES UpdateNovember 9, 2012
✔ NPI 1790772010 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in NY · F3814531
347 EDISON ST, Staten Island, NY 10306
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Other Names 1

Former Name (1)Elizabeth Flint Nurse Pract

Other Identifiers 3

Medicare ID-Type Unspecified1093G1NY
Medicaid02389417NY
Medicare UPINQ44233

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JANET M. FAICCO F. N. P.
Nurse Practitioner
347 EDISON ST
STATEN ISLAND, NY 10306
Richmond County (718) 351-1136
DR. PATRICIA A. MULLEN M. D.
Pediatrics
347 EDISON ST
STATEN ISLAND, NY 10306
Richmond County (718) 351-1136
DR. LEONARD LEFKOVIC M. D.
Internal Medicine (Cardiovascular Disease)
347 EDISON ST
STATEN ISLAND, NY 10306
Richmond County (718) 351-1136
DIANE P. HALLIHAN A. N. P.
Clinical Nurse Specialist (Adult Health)
347 EDISON ST
STATEN ISLAND, NY 10306
Richmond County (718) 351-1136

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Elizabeth Villavicencio's NPI number?

The NPI number for Elizabeth Villavicencio is 1790772010. It was assigned to this individual provider in the NPPES registry on October 3, 2005. The provider is also known as Elizabeth Flint Nurse Pract.

Where is Elizabeth Villavicencio located?

Elizabeth Villavicencio practices at 347 Edison St, Staten Island, NY 10306. The listed phone number is (718) 351-1136.

What is Elizabeth Villavicencio's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

When was this NPI record last updated?

The NPPES record for Elizabeth Villavicencio was last updated on November 9, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.