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NPI Code Detail

MEDICARE: ADRIANNA NICOLE MANZELLA

MEDICARE: ADRIANNA NICOLE MANZELLA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist101435-01NY

General Provider Information

NPI Number : 1477105724
Entity Type Code : Individual
Provider Name (Legal Business Name) : ADRIANNA NICOLE MANZELLA
Provider Business Mailing Address
First Line : 3304 WATERBURY AVE
Second Line :
City : BRONX
State : NY
Zip : 10465-1554
Country : US
Telephone Number : 718-931-3000
Fax Number :
Provider Business Practice Location Address
First Line : 3304 WATERBURY AVE
Second Line :
City : BRONX
State : NY
Zip : 10465-1554
Country : US
Telephone Number : 718-931-3000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/16/2019
Last Update Date : 07/16/2019

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Directions to “ ADRIANNA NICOLE MANZELLA ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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