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Individual
MR. SILVIO MAZZELLA JR.
Active
Individual
MR. SILVIO MAZZELLA JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CDN
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary
000961-1
NY
3747A0650X
Attendant Care Provider
000961-1
NY
Other
Enumeration date
09/12/2016
Last updated
09/12/2016
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