Individual provider · Type 1 NPI
Marissa Zydor
Specialist · Melville, NY
NPI number
1386178127
Active
Practice location
538 NY-110 #202
Melville, NY 11747
Mailing address
1 Birchwood Dr
Port Jefferson Station, NY 11776-3537
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | None listed |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1386178127
Marissa Zydor's National Provider Identifier is 1386178127, issued on Apr 19, 2017. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Melville, NY. The record was last updated on Apr 19, 2017.