Individual
DR. JENNIFER DAWN MCLEVY-BAZZANELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
100 WOODS RD, VALHALLA, NY 10595-1530
(914) 693-7636
Mailing address
89 EUNICE AVE, FAIRFIELD, CT 06824-6820
(916) 508-6169
Taxonomy
Speciality
Code
Description
License number
State
207YP0228X
Pediatric Otolaryngology Physician
Primary
318155-01
NY
207YP0228X
Pediatric Otolaryngology Physician
436967
PA
Other
Enumeration date
12/05/2005
Last updated
08/31/2022
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