Provider Demographics
NPI:1083262406
Name:ZARRELLA, MELANIE GRACE ORLANDO (PAC)
Entity Type:Individual
Prefix:
First Name:MELANIE
Middle Name:GRACE ORLANDO
Last Name:ZARRELLA
Suffix:
Gender:F
Credentials:PAC
Other - Prefix:
Other - First Name:MELANIE
Other - Middle Name:GRACE
Other - Last Name:ORLANDO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PAC
Mailing Address - Street 1:10 DARCI DR
Mailing Address - Street 2:
Mailing Address - City:HOPEWELL JUNCTION
Mailing Address - State:NY
Mailing Address - Zip Code:12533-6004
Mailing Address - Country:US
Mailing Address - Phone:845-522-3412
Mailing Address - Fax:
Practice Address - Street 1:21 READE PL STE 2100
Practice Address - Street 2:
Practice Address - City:POUGHKEEPSIE
Practice Address - State:NY
Practice Address - Zip Code:12601-3968
Practice Address - Country:US
Practice Address - Phone:845-214-1840
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-28
Last Update Date:2024-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant