Doctor Name: | DR. PATRICK W. MARZANO |
NPI Number: | 1679503254 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.O. |
License Number: | |
Business Practice Address: | 225 Williamson St Case Management Elizabeth, NJ - 072023625 |
Business Phone Number: | 9089945330 |
Business Fax Number: | |
Mailing Address: | 245 Woolley Ave, STATEN ISLAND |
State: | NY |
Postal Code: | 103142003 |
Phone Number: | 7182734193 |
Fax Number: | |
NPI Enumeration Date: | 07/03/2006 |
NPI Last Update Date: | 09/04/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |