Individual
JESSICA MAZILE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3201 KINGS HWY, BROOKLYN, NY 11234-2625
(718) 252-3000
Mailing address
5118 AVENUE S, BROOKLYN, NY 11234-4625
(347) 355-6189
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
NY
Other
Enumeration date
01/11/2019
Last updated
01/11/2019
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