Individual
BRENDA MAZZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
172 RAVENHURST AVE, STATEN ISLAND, NY 10310-2612
(718) 447-8906
Mailing address
172 RAVENHURST AVE, STATEN ISLAND, NY 10310-2612
(718) 447-8906
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
AEB-19-02246
NY
Other
Enumeration date
12/12/2024
Last updated
12/12/2024
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