MEDICARE: JENNIFER MEZZANCELLO

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	103TS0200X	School Psychologist	872997	NY

General Provider Information

NPI Number	:	1649068669
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNIFER MEZZANCELLO

Provider Business Mailing Address
First Line	:	2846 SADDLE RIDGE DR
Second Line	:
City	:	YORKTOWN HEIGHTS
State	:	NY
Zip	:	10598-2310
Country	:	US
Telephone Number	:	914-772-3315
Fax Number	:

Provider Business Practice Location Address
First Line	:	2846 SADDLE RIDGE DR
Second Line	:
City	:	YORKTOWN HEIGHTS
State	:	NY
Zip	:	10598-2310
Country	:	US
Telephone Number	:	914-772-3315
Fax Number	:

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

Provider Enumeration Date	:	04/29/2025
Last Update Date	:	04/29/2025

Similar Medicare Providers

1790540391 — MRS. LAURA LUCID MS
Practice Location Address:

2884 SADDLE RIDGE DR
YORKTOWN HEIGHTS, NY
10598-2310

Practice Phone: 516-647-3628
Practice Fax:

1083659023 — DR. RAYMOND LEE MEADE D.D.S.
Practice Location Address:

2018 BOULEVARD
COLONIAL HEIGHTS, VA
23834-2310

Practice Phone: 804-520-1741
Practice Fax: 804-520-4750

1619027950 — WOODWARD DETROIT CVS LLC
Practice Location Address:

2310 METROPOLITAN PKWY
STERLING HEIGHTS, MI
48310-4209

Practice Phone: 586-698-1028
Practice Fax: 586-698-1031

1245525526 — MS. JODI LYNN ADRAGNA RPH
Practice Location Address:

2310 METROPOLITAN PKWY , T-2254
STERLING HEIGHTS, MI
48310-4209

Practice Phone: 586-698-1028
Practice Fax: 586-698-1031

1902192149 — DR. PAUL FAUX PHARMD
Practice Location Address:

2310 METROPOLITAN PKWY
STERLING HEIGHTS, MI
48310-4209

Practice Phone: 586-698-1028
Practice Fax: 586-698-1031

1265792980 — BOI PESSIMA HHA
Practice Location Address:

2310 ROSLYN AVE
DISTRICT HEIGHTS, MD
20747-3347

Practice Phone: 202-545-0935
Practice Fax:

Directions to “ JENNIFER MEZZANCELLO ” 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.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.