Individual
DR. PAUL CARMINE GAZZARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3589 HYLAN BLVD, STATEN ISLAND, NY 10308-3513
(718) 966-3700
(718) 966-0433
Mailing address
3589 HYLAN BLVD, STATEN ISLAND, NY 10308-3513
(718) 966-3700
(718) 966-0433
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
162022
NY
207R00000X
Internal Medicine Physician
162022
NY
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary
25MA08425900
NJ
Other
Enumeration date
02/21/2006
Last updated
09/10/2025
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