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NPI Code Detail

MEDICARE: SANDRA ZAMBELLO NP

MEDICARE: SANDRA ZAMBELLO NP
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
1363LP0808XPsychiatric/Mental Health Nurse PractitionerF400625-1NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1265408181
Entity Type Code : Individual
Provider Name (Legal Business Name) : SANDRA ZAMBELLO NP
Provider Business Mailing Address
First Line : 146 NORTH ST
Second Line :
City : AUBURN
State : NY
Zip : 13021-1831
Country : US
Telephone Number : 315-253-2746
Fax Number : 315-253-1077
Provider Business Practice Location Address
First Line : 146 NORTH ST
Second Line :
City : AUBURN
State : NY
Zip : 13021-1831
Country : US
Telephone Number : 315-253-2746
Fax Number : 315-253-1077
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/28/2006
Last Update Date : 03/31/2011

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Directions to “ SANDRA ZAMBELLO NP” Practice Location

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