IndividualActive
Jennifer Mclevy-Bazzanella, MD
NPI 1003890807 · Pediatric Otolaryngology Physician · Valhalla, NY
Provider details
- NPI number
- 1003890807
- Entity type
- Individual
- Primary specialty
- Pediatric Otolaryngology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 436967 (PA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
100 Woods Rd
Valhalla, NY 10595-1530
Phone: (914) 693-7636
Approximate (ZIP-level) locationGet directions
Mailing address
89 Eunice Ave
Fairfield, CT 06824-6820
Additional practice locations (1)
- 51 N Dunlap StG10Memphis, TN 38105-4625Phone: (901) 287-4400Fax: (901) 287-5047
Registry dates
- Enumerated
- 2005-12-05
- Last updated
- 2022-08-31
- Certified
- 2022-08-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.