Individual
DR. JOHN PEZZULO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
315 S MANNING BLVD, ALBANY, NY 12208-1707
(518) 525-5064
Mailing address
PO BOX 14890, ALBANY, NY 12212-4890
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
175785
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01405605
—
NY
Enumeration date
03/31/2006
Last updated
02/09/2023
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