MEDICARE: ALIANNA ZEVOLA

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
1	104100000X	Social Worker	107567	NY

General Provider Information

NPI Number	:	1477104321
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALIANNA ZEVOLA

Provider Business Mailing Address
First Line	:	1997 COUNTY HIGHWAY 107
Second Line	:
City	:	AMSTERDAM
State	:	NY
Zip	:	12010-6217
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	73 N MAIN ST
Second Line	:
City	:	GLOVERSVILLE
State	:	NY
Zip	:	12078-3044
Country	:	US
Telephone Number	:	518-773-3531
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/23/2019
Last Update Date	:	09/23/2019

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Directions to “ ALIANNA ZEVOLA ” Practice Location

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