Provider Demographics
NPI:1710724034
Name:DI TOLLA, PAOLA (MFA)
Entity type:Individual
Prefix:
First Name:PAOLA
Middle Name:
Last Name:DI TOLLA
Suffix:
Gender:F
Credentials:MFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:705 4TH AVE APT 4
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11232-1269
Mailing Address - Country:US
Mailing Address - Phone:413-230-0037
Mailing Address - Fax:
Practice Address - Street 1:705 4TH AVE APT 4
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11232-1269
Practice Address - Country:US
Practice Address - Phone:413-230-0037
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-12
Last Update Date:2024-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program