Individual
MR. SILVIO MAZZELLA JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CDN
Contact information
Practice address
711 OAKLAND PL, APT H2, BRONX, NY 10457-3602
(718) 367-7270
Mailing address
711 OAKLAND PLACE, APT H2, BRONX, NY 10457-3602
(718) 367-7270
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary
000961-1
NY
3747A0650X
Attendant Care Provider
000961-1
NY
Other
Enumeration date
09/12/2016
Last updated
09/12/2016
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