Provider Demographics
NPI:1922534288
Name:ROZZI, TONI
Entity Type:Individual
Prefix:
First Name:TONI
Middle Name:
Last Name:ROZZI
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 1:83 HARRISON ST
Mailing Address - Street 2:
Mailing Address - City:SAG HARBOR
Mailing Address - State:NY
Mailing Address - Zip Code:11963-3501
Mailing Address - Country:US
Mailing Address - Phone:631-899-3694
Mailing Address - Fax:
Practice Address - Street 1:83 HARRISON ST
Practice Address - Street 2:
Practice Address - City:SAG HARBOR
Practice Address - State:NY
Practice Address - Zip Code:11963-3501
Practice Address - Country:US
Practice Address - Phone:631-899-3694
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-05-05
Last Update Date:2017-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1117953171174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist