Individual
MR. DANIEL MAZZUCHIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
948 48TH ST, 2ND FLOOR, BROOKLYN, NY 11219-2918
(718) 283-7219
Mailing address
2130 STUART ST, BROOKLYN, NY 11229-4018
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
008598
NY
Other
Enumeration date
11/08/2006
Last updated
02/24/2021
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