Provider Demographics
NPI:1346396850
Name:PREZZANO BRITT, DENISE (MSED TSHH)
Entity Type:Individual
Prefix:MS
First Name:DENISE
Middle Name:
Last Name:PREZZANO BRITT
Suffix:
Gender:F
Credentials:MSED TSHH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:36 EVELYN DR
Mailing Address - Street 2:
Mailing Address - City:COMMACK
Mailing Address - State:NY
Mailing Address - Zip Code:11725-3821
Mailing Address - Country:US
Mailing Address - Phone:631-796-7517
Mailing Address - Fax:631-462-4466
Practice Address - Street 1:36 EVELYN DR
Practice Address - Street 2:
Practice Address - City:COMMACK
Practice Address - State:NY
Practice Address - Zip Code:11725-3821
Practice Address - Country:US
Practice Address - Phone:631-796-7517
Practice Address - Fax:631-462-4466
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-26
Last Update Date:2007-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY174400000X, 2355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered174400000XOther Service ProvidersSpecialist
Not Answered2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant