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Contact Information

PATRICIA PEZZELLO, MD
1010 NORTHERN BLVD
SUITE 102
GREAT NECK, NY11021-5306
 Phone: 516-487-8888
 Fax: 516-487-8887
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for PATRICIA PEZZELLO · (Female)

NPI # 1952340150
Status Active
Credentials MD
Entity Individual
Enumeration date 06/05/2006
Last updated 10/01/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 136277
Hospital affiliation(s)
  • GLEN COVE HOSPITAL - (Acute Care)
    101 ST ANDREWS LANE
    GLEN COVE, NY 11542
  • NORTH SHORE UNIVERSITY HOSPITAL - (Acute Care)
    300 COMMUNITY DRIVE
    MANHASSET, NY 11030
  • ST FRANCIS HOSPITAL ROSLYN - (Acute Care)
    100 PORT WASHINGTON BOULEVARD
    ROSLYN, NY 11576
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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