Individual
WILLIAM M MAZARIEGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATS
Contact information
Practice address
5 TALLMAN PL, SUFFERN, NY 10901
(845) 300-8066
Mailing address
5 TALLMAN PL, P.O BOX 675, SUFFERN, NY 10901
(845) 300-8066
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
10/30/2018
Last updated
10/30/2018
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