Doctor Name: | JULIANNA CERZA |
NPI Number: | 1063758787 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PMHNP |
License Number: | F401522 |
Business Practice Address: | 30 Crescent Ave Saratoga Springs, NY - 128665142 |
Business Phone Number: | 8604246624 |
Business Fax Number: | |
Mailing Address: | 3 Hampstead Pl Apt 305, SARATOGA SPRINGS |
State: | NY |
Postal Code: | 128665562 |
Phone Number: | 8604246624 |
Fax Number: | |
NPI Enumeration Date: | 12/27/2012 |
NPI Last Update Date: | 06/15/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0808X |
License Number: | F401522 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Psych/Mental Health |
Taxonomy Definition: |