Provider Demographics
NPI:1942585336
Name:ANZALONE, MARIA A (RN)
Entity Type:Individual
Prefix:MS
First Name:MARIA
Middle Name:A
Last Name:ANZALONE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:41 MONTCLAIR RD
Mailing Address - Street 2:
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10710-2821
Mailing Address - Country:US
Mailing Address - Phone:914-356-1485
Mailing Address - Fax:914-681-1308
Practice Address - Street 1:41 MONTCLAIR RD
Practice Address - Street 2:
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10710-2821
Practice Address - Country:US
Practice Address - Phone:914-356-1485
Practice Address - Fax:914-681-1308
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-17
Last Update Date:2015-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY563325-1163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse