Individual
CHRISTINE D'AMBROSIO-MAZZOCCHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2013 W 11TH ST, BROOKLYN, NY 11223-3540
(917) 613-7316
Mailing address
2013 W 11TH ST, BROOKLYN, NY 11223-3540
(917) 613-7316
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
537689
NY
Other
Enumeration date
06/17/2012
Last updated
06/17/2012
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