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Individual
DR. GINA MARIE MAZZARA
Active
Individual
DR. GINA MARIE MAZZARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X008585-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1013480
AMERICAN SPECIALTY HEALTH
NY
01
—
89023
HEALTHNET
NY
01
—
CO-8585-4
WORKERS COMPENSATION
NY
01
—
P2129236
OXFORD
NY
01
—
X93051
BLUE CROSS/BLUE SHIELD
NY
Enumeration date
09/28/2006
Last updated
07/08/2007
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