Individual
DR. MARIE AZZU PELOSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
165 N VILLAGE AVE, SUITE 215, ROCKVILLE CENTRE, NY 11570-3761
(516) 536-7200
(516) 536-7208
Mailing address
165 N VILLAGE AVE, SUITE 215, ROCKVILLE CENTRE, NY 11570-3761
(516) 536-7200
(516) 536-7208
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
188138
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01836819
—
NY
Enumeration date
07/28/2005
Last updated
03/22/2012
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