Individual
MR. STEPHEN THOMAS PEZZOLLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NY STATE TEACHER CER
Contact information
Practice address
334 KRUMKILL RD, SLINGERLANDS, NY 12159-9303
(518) 459-0750
Mailing address
1310 KNOX CAVE RD, DELANSON, NY 12053
(518) 872-9890
Taxonomy
Speciality
Code
Description
License number
State
225C00000X
Rehabilitation Counselor
Primary
—
—
Other
Enumeration date
12/28/2006
Last updated
07/08/2007
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