Provider Demographics
NPI:1942482484
Name:SCOZZARI, MARIELLA FRANCESCA (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:MARIELLA
Middle Name:FRANCESCA
Last Name:SCOZZARI
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 SEARINGTOWN AVE
Mailing Address - Street 2:
Mailing Address - City:ALBERTSON
Mailing Address - State:NY
Mailing Address - Zip Code:11507-1506
Mailing Address - Country:US
Mailing Address - Phone:516-741-6155
Mailing Address - Fax:
Practice Address - Street 1:1123 JERUSALEM AVE
Practice Address - Street 2:
Practice Address - City:UNIONDALE
Practice Address - State:NY
Practice Address - Zip Code:11553-3004
Practice Address - Country:US
Practice Address - Phone:516-505-1230
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-27
Last Update Date:2007-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY052218183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01790385Medicaid