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Individual
DR. WILLIAM J PEZZELLO JR.
Active
Individual
DR. WILLIAM J PEZZELLO JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
008325
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
X6V741
MEDICARE ID
NY
Enumeration date
07/26/2007
Last updated
07/04/2014
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