Provider Demographics
NPI:1972785848
Name:TOONE-SCOZZARO, MELISSA LEATRICE I (LPN)
Entity type:Individual
Prefix:MRS
First Name:MELISSA
Middle Name:LEATRICE
Last Name:TOONE-SCOZZARO
Suffix:I
Gender:F
Credentials:LPN
Other - Prefix:MRS
Other - First Name:MELISSA
Other - Middle Name:LEATRICE
Other - Last Name:TOONE-SCOZZARO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LPN
Mailing Address - Street 1:40 BIRCH DR
Mailing Address - Street 2:
Mailing Address - City:BREWSTER
Mailing Address - State:NY
Mailing Address - Zip Code:10509-3920
Mailing Address - Country:US
Mailing Address - Phone:845-279-2974
Mailing Address - Fax:
Practice Address - Street 1:40 BIRCH DR
Practice Address - Street 2:
Practice Address - City:BREWSTER
Practice Address - State:NY
Practice Address - Zip Code:10509-3920
Practice Address - Country:US
Practice Address - Phone:845-279-2974
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-03
Last Update Date:2007-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY257343-1164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse