Organization
JOE MAZZUCCO OT PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH FRANK MAZZUCCO OTR/L (OWNER)
(203) 980-9131
Entity
Organization
Contact information
Practice address
27 CHILTON LN, ABERDEEN, NJ 07747-2208
(203) 980-9131
Mailing address
3 E EVERGREEN RD, PMB 563, NEW CITY, NY 10956-5101
(203) 980-9131
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
014843
NY
Other
Enumeration date
07/11/2017
Last updated
02/24/2022
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