Individual
CRAIG MICHAEL MOZZILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
506 6TH ST, BROOKLYN, NY 11215-3609
(718) 780-5040
(718) 780-7805
Mailing address
506 6TH ST, BROOKLYN, NY 11215-3609
(718) 780-5040
(718) 780-7805
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
008302
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5F2931
—
NY
Enumeration date
10/03/2006
Last updated
05/01/2023
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