Individual
MS. CONSTANCE J PEZZOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3 E 101ST ST, NEW YORK, NY 10029-6528
(212) 824-8050
(212) 426-1946
Mailing address
3 EAST 101 ST STREET, NEW YORK, NY 10029
(212) 241-6639
(212) 426-1946
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
018723
NY
Other
Enumeration date
09/29/2015
Last updated
09/29/2015
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