PATRICIA PEZZELLO


Address: 1010 Northern Blvd, Suite 102, Great Neck, NY 11021-5306
Phone: 5164878888

PATRICIA PEZZELLO (NPI# 1952340150) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1952340150
Entity Type Individual
Full Name PATRICIA PEZZELLO
Credential MD
Practice Address 1010 Northern Blvd
Suite 102
Great Neck
NY 11021-5306
Practice Telephone 5164878888
Practice Fax Number 5164878887
Mailing Telephone 5164878888
Mailing Fax Number 5164878887
Enumeration Date 2006-06-05
Last Update Date 2007-10-01
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208600000X Surgery 136277 NY Allopathic & Osteopathic Physicians

Office Location

Street Address 1010 NORTHERN BLVD
SUITE 102
City GREAT NECK
State NY
Zip Code 11021-5306

Providers in the same location

NPI Name Taxonomy Address Enumeration
1205839255 Steven M Goldberg Internal Medicine 1010 Northern Blvd, Ste 110, Great Neck, NY 11021-5306 2005-05-23
1851939193 Jessica Ann Schillow Nurse Practitioner 1010 Northern Blvd, Great Neck, NY 11021-5317 2019-12-17
1033754171 Jennifer D Pierre Occupational Therapy Assistant 1010 Northern Blvd, Great Neck, NY 11021-5317 2019-11-13
1831752518 Tannesha Dixon Nurse Practitioner 1010 Northern Blvd, Great Neck, NY 11021-5317 2019-04-17
1306324736 Samantha Hartnett Audiologist 1010 Northern Blvd, Great Neck, NY 11021-5317 2018-07-28
1811403744 Jacqueline Pugliese Occupational Therapist 1010 Northern Blvd, Great Neck, NY 11021-5317 2017-12-14
1558876631 Dvora Khalili Occupational Therapist 1010 Northern Blvd, Great Neck, NY 11021-5317 2017-12-11
1124573761 Ashley Weaver Audiologist 1010 Northern Blvd, #308, Great Neck, NY 11021-5317 2016-08-24
1023409448 Garuda Medical, P.C. Specialist 1010 Northern Blvd, Suite 208, Great Neck, NY 11021-5317 2015-02-06
1376962696 Philip Ragone M D P C Psychiatry & Neurology 1010 Northern Blvd, Ste 136, Great Neck, NY 11021-5317 2014-04-15
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1760097927 Vital Balance Osteopathy, Pllc Psychiatry & Neurology 10 Bond Street, Ste 1, #290, Great Neck, NY 11021 2020-09-14
1770131922 Bond Orthodontics & Dental Care Pllc Dentist 12 Bond Street., Suite#c4, Great Neck, NY 11021 2019-08-30
1295393858 Ctrip.nyc, Inc. Emergency Response System Companies 3 Grace Ave, Suite 106, Great Neck, NY 11021 2019-05-30
1366929267 Vishva Vajra Acupuncture PC Acupuncturist 23a Middle Neck Road, Great Neck, NY 11021 2018-07-24
1518457530 Assured Quality Home Care, Inc. In Home Supportive Care 885 Northern Blvd., Greak Neck, NY 11021 2018-05-15
1881183275 Liat Mindy Brody Occupational Therapist 7 Hickory Dr, Great Neck, NY 11021 2018-05-01
1457853707 Allison Squillace Social Worker 7 Bond Suite 1a, Great Neck, NY 11021 2018-03-02
1275042855 Seolhee Kang Acupuncturist 26 Linden Street, Apt 4c, Great Neck, NY 11021 2017-09-26
1346781598 Sara Dreiblatt Speech-Language Pathologist 211-45 46th Road, Queens, NY 11021 2017-03-20
1962853416 Darron Yelling Do, PC Surgery 305 Northen Blvd, 105, Great Neck, NY 11021 2016-06-27
Find all providers in zip 11021

Taxonomy Information

Taxonomy Code 208600000X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery

Taxonomy Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1962853416 Darron Yelling Do, PC Surgery 305 Northen Blvd, 105, Great Neck, NY 11021 2016-06-27
1538562202 Christopher Robert Taglia Surgery 310 E Shore Rd Ste 203, Great Neck, NY 11023-2432 2014-10-08
1407291198 Mary Francescucci Dirico Surgery 1 Kings Point Rd, Great Neck, NY 11024-1640 2013-05-08
1811253081 David Shokrian Surgery 9 Sinclair Dr, Great Neck, NY 11024-1621 2012-04-02
1861642571 Sumit De Surgery 10 Webb Hill Rd, Great Neck, NY 11020-1119 2008-09-30
1013070697 Alex Michael Stone Surgery 37 South Dr, Great Neck, NY 11021-1959 2006-12-18
1396804431 Kevin Edward Harrison Surgery 290 Community Dr, Great Neck, NY 11021-5504 2006-12-06
1174616767 Larry Eli Gellman Surgery 310 East Shore Road, Suite 203, Great Neck, NY 11023 2006-10-02
1801814694 Lawrence Alvin Gordon Surgery 9 Chester Dr, Great Neck, NY 11021-4904 2006-07-18
1144203415 Gregory Fried Surgery 2 Effron Pl, Great Neck, NY 11020-1412 2005-11-21
Find all providers in GREAT NECK

Competitor

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City GREAT NECK
Zip Code 11021

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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