Provider Demographics
NPI:1346304516
Name:PANZARELLA, DONNA
Entity Type:Individual
Prefix:
First Name:DONNA
Middle Name:
Last Name:PANZARELLA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15021 95TH ST
Mailing Address - Street 2:
Mailing Address - City:OZONE PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11417-2960
Mailing Address - Country:US
Mailing Address - Phone:347-728-0744
Mailing Address - Fax:
Practice Address - Street 1:15021 95TH ST
Practice Address - Street 2:
Practice Address - City:OZONE PARK
Practice Address - State:NY
Practice Address - Zip Code:11417-2960
Practice Address - Country:US
Practice Address - Phone:347-728-0744
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health