Individual
KATHRYN MAZZIOTTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
26901 76TH AVE, NEW HYDE PARK, NY 11040-1433
(516) 470-7000
Mailing address
14 FERN AVE, EAST ISLIP, NY 11730-2111
(631) 446-1303
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
F382620-01
NY
Other
Enumeration date
07/05/2016
Last updated
07/05/2016
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