Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2100X | Nurse Practitioner - Acute Care | 608499 | NY |
NPI | 1043456536 |
---|---|
Provider Name | Melissa Ann Barzola |
First Address | Maywood, NJ 07607-1318 |
Second Address | New York, NY 10065-6007 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/01/2009 |
Last Update Date | 28/01/2013 |