Individual
MAXWELL SEBASTIAN MAZZARINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1275 YORK AVE, NEW YORK, NY 10065-6007
(212) 639-2000
Mailing address
630 1ST AVE, NEW YORK, NY 10016-3700
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
07/30/2019
Last updated
04/03/2021
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