Individual
NICOLE MAZZULLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRPA
Contact information
Practice address
942 ROUTE 376 STE 201-204, WAPPINGERS FALLS, NY 12590-6483
(845) 765-2366
Mailing address
723 BEEKMAN RD LOT 14, HOPEWELL JUNCTION, NY 12533-6681
(845) 453-6353
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
CRPA-6007
NY
Other
Enumeration date
10/02/2024
Last updated
10/02/2024
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