Provider Demographics
NPI:1902589070
Name:FOX, PAMELA (MSED)
Entity Type:Individual
Prefix:MRS
First Name:PAMELA
Middle Name:
Last Name:FOX
Suffix:
Gender:F
Credentials:MSED
Other - Prefix:MS
Other - First Name:PAMELA
Other - Middle Name:
Other - Last Name:PICARELLO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2 ROBIN LN
Mailing Address - Street 2:
Mailing Address - City:LEVITTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:11756-4019
Mailing Address - Country:US
Mailing Address - Phone:516-209-1319
Mailing Address - Fax:
Practice Address - Street 1:2 ROBIN LN
Practice Address - Street 2:
Practice Address - City:LEVITTOWN
Practice Address - State:NY
Practice Address - Zip Code:11756-4019
Practice Address - Country:US
Practice Address - Phone:516-209-1319
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-07
Last Update Date:2023-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency