Individual
JOHN P MAZZARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PA-C
Contact information
Practice address
285 SILLS RD STE C, EAST PATCHOGUE, NY 11772
(631) 627-8700
(631) 627-8707
Mailing address
259 1ST ST, MINEOLA, NY 11501-3957
(631) 335-0155
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
011184-1
NY
Other
Enumeration date
02/06/2007
Last updated
06/24/2019
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