NPI 1528124302

Stephen Thomas Pezzolla, NYSTATETEACHERCER

Practitioner Rehabilitation Counselor Slingerlands, NY

Practice location

Address: 334 Krumkill Rd, Slingerlands, NY 12159-9303
Phone: (518) 459-0750
Mailing address: 1310 Knox Cave Rd, Delanson, NY 12053

Registered specialties

Rehabilitation Counselor Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225C00000X

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Registry record

NPI: 1528124302
Entity type: Individual
Sex (as registered): Male
NPI issued: 28 Dec 2006
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.