Individual provider · Type 1 NPI

Laurie Pezzullo, LMSW, CHC, CDM

Student in an Organized Health Care Education/Training Program · Hicksville, NY

NPI number 1184178808 Active

Practice location

950 S Oyster Bay Rd
Hicksville, NY 11801-3510

Call (516) 396-2769 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1184178808

Laurie Pezzullo, LMSW, CHC, CDM's National Provider Identifier is 1184178808, issued on Aug 10, 2016. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Hicksville, NY. The record was last updated on Aug 10, 2016.