Provider Demographics
NPI:1114284262
Name:POLZELLA, SABRINA G (MS ED)
Entity Type:Individual
Prefix:MS
First Name:SABRINA
Middle Name:G
Last Name:POLZELLA
Suffix:
Gender:F
Credentials:MS ED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:73 PINESBRIDGE RD
Mailing Address - Street 2:
Mailing Address - City:OSSINING
Mailing Address - State:NY
Mailing Address - Zip Code:10562-1701
Mailing Address - Country:US
Mailing Address - Phone:914-762-7514
Mailing Address - Fax:
Practice Address - Street 1:73 PINESBRIDGE RD
Practice Address - Street 2:
Practice Address - City:OSSINING
Practice Address - State:NY
Practice Address - Zip Code:10562-1701
Practice Address - Country:US
Practice Address - Phone:914-762-7514
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-13
Last Update Date:2012-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY838415103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst