Provider Demographics
NPI:1730689779
Name:ZONETTI, ROSEMARIE (LMT)
Entity type:Individual
Prefix:
First Name:ROSEMARIE
Middle Name:
Last Name:ZONETTI
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:510 LAFAYETTE AVE APT 2
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14222-1317
Mailing Address - Country:US
Mailing Address - Phone:610-750-2853
Mailing Address - Fax:
Practice Address - Street 1:400 INTERNATIONAL DRIVE
Practice Address - Street 2:SPA 400
Practice Address - City:WILLIAMSVILLE
Practice Address - State:NY
Practice Address - Zip Code:14221-1422
Practice Address - Country:US
Practice Address - Phone:716-631-1516
Practice Address - Fax:716-631-1516
Is Sole Proprietor?:No
Enumeration Date:2018-02-16
Last Update Date:2018-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY027723225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist