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Individual

DR. SEBASTIAN ANGELO MAZZOTTA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4 STILLMAN DR, CANTON, NY 13617-1221
(315) 386-8141
(315) 386-8493
Mailing address
4 STILLMAN DR, CANTON, NY 13617-1221
(315) 386-8141
(315) 386-8493

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
130060-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00630699
NY
Enumeration date
07/26/2005
Last updated
07/08/2007
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