# PAUL PEZZINO, MD OF NY P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114279742
- **Authorized official:** DR. PAUL PEZZINO (M.D.)
- **Authorized official phone:** (718) 564-4031

## Contact information

- **Practice address:** 9117 157TH AVE, HOWARD BEACH, NY 11414
- **Practice address phone:** (718) 564-4031
- **Practice address fax:** (203) 518-4889
- **Mailing address:** 330 MAIN ST FL 2, HARTFORD, CT 06106-1851
- **Mailing address phone:** (203) 518-4888
- **Mailing address fax:** (203) 518-4889

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | 266310 | NY | Yes |

## Other

- **Enumeration date:** 10/05/2012
- **Last updated:** 02/04/2019
