Provider Demographics
NPI:1083238513
Name:KAZZI, BRIGITTE (MD)
Entity Type:Individual
Prefix:
First Name:BRIGITTE
Middle Name:
Last Name:KAZZI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 HAVEN AVENUE
Mailing Address - Street 2:TOWER 2 APT12A
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10032
Mailing Address - Country:US
Mailing Address - Phone:347-556-1452
Mailing Address - Fax:
Practice Address - Street 1:1830 E. MONUMENT STREET
Practice Address - Street 2:ROOM 9029
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21287
Practice Address - Country:US
Practice Address - Phone:410-955-7910
Practice Address - Fax:410-955-0374
Is Sole Proprietor?:No
Enumeration Date:2020-06-01
Last Update Date:2020-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program