Provider Demographics
NPI:1265928931
Name:BUZZEO, NATALIE MARIE (MS)
Entity type:Individual
Prefix:
First Name:NATALIE
Middle Name:MARIE
Last Name:BUZZEO
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4511 NEWTOWN RD APT 2
Mailing Address - Street 2:
Mailing Address - City:ASTORIA
Mailing Address - State:NY
Mailing Address - Zip Code:11103-1622
Mailing Address - Country:US
Mailing Address - Phone:914-610-9750
Mailing Address - Fax:
Practice Address - Street 1:180 AMSTERDAM AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10023-5034
Practice Address - Country:US
Practice Address - Phone:914-610-9750
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-06
Last Update Date:2018-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist