Individual
ANGELA MARZELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14 OAK POINT DR S, BAYVILLE, NY 11709-1122
(516) 459-6475
Mailing address
14 OAK POINT DR S, BAYVILLE, NY 11709-1122
(516) 459-6475
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
608327121
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
608327121
NEW YORK STATE TEACHING CERTIFICATION
NY
Enumeration date
06/12/2012
Last updated
06/13/2012
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