Individual
DR. JOSEPH PATRICK MAZZIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
120 MINEOLA BLVD, SUITE 10 LOWER LEVEL, MINEOLA, NY 11501-4073
(516) 663-4510
(516) 663-3698
Mailing address
PO BOX 27686, NEW YORK, NY 10087-7686
(888) 220-1235
(865) 450-9374
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
245206
NY
2085R0202X
Diagnostic Radiology Physician
H0065390
MD
2085R0202X
Diagnostic Radiology Physician
NJ25MB09990700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
412895800
—
MD
Enumeration date
05/01/2007
Last updated
10/01/2024
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