Provider Demographics
NPI:1376798637
Name:MARZINI, MARIELA (MS, SLP)
Entity Type:Individual
Prefix:MRS
First Name:MARIELA
Middle Name:
Last Name:MARZINI
Suffix:
Gender:F
Credentials:MS, SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8333 118TH ST APT 2E
Mailing Address - Street 2:
Mailing Address - City:KEW GARDENS
Mailing Address - State:NY
Mailing Address - Zip Code:11415-2337
Mailing Address - Country:US
Mailing Address - Phone:718-813-3635
Mailing Address - Fax:
Practice Address - Street 1:8333 118TH ST APT 2E
Practice Address - Street 2:
Practice Address - City:KEW GARDENS
Practice Address - State:NY
Practice Address - Zip Code:11415-2337
Practice Address - Country:US
Practice Address - Phone:718-813-3635
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-11-28
Last Update Date:2008-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY15333-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist