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Individual

MRS. ANGELA M MAZZEO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSED

Contact information

Practice address
1967 HANCOCK AVE, NORTH BELLMORE, NY 11710-1514
(917) 576-6884
Mailing address
1967 HANCOCK AVE, NORTH BELLMORE, NY 11710-1514
(917) 576-6884

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
851521
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
851521
CERTIFICATIONS
NY
Enumeration date
06/13/2012
Last updated
06/13/2012
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