Provider Demographics
NPI:1467769208
Name:POZZUTO, ANGELO (MSED)
Entity Type:Individual
Prefix:
First Name:ANGELO
Middle Name:
Last Name:POZZUTO
Suffix:
Gender:M
Credentials:MSED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3245 SPENCER DR
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10465-1263
Mailing Address - Country:US
Mailing Address - Phone:718-918-0274
Mailing Address - Fax:
Practice Address - Street 1:3245 SPENCER DR
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10465-1263
Practice Address - Country:US
Practice Address - Phone:718-918-0274
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-31
Last Update Date:2010-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool