Individual
MISS AMY MAZZARISI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
14 SLOSSON TER, STATEN ISLAND, NY 10301-2507
(718) 273-8409
Mailing address
24 ARKANSAS AVE, STATEN ISLAND, NY 10308-1502
(917) 838-9466
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
008566
NY
101YM0800X
Mental Health Counselor
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1003049891
—
FL
Enumeration date
08/27/2009
Last updated
10/11/2019
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