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Individual

ANTHONY MAZZELLA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
1651 3RD AVE, SUITE 201, NEW YORK, NY 10128-3679
(212) 591-0152
Mailing address
1651 3RD AVE, SUITE 201, NEW YORK, NY 10128-3679
(212) 591-0152

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
PR056038-1
NY

Other

Enumeration date
12/04/2013
Last updated
12/04/2013
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