Individual
ANGELA V MAZZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2811 QUEENS PLZ N, 5TH FLOOR, LONG ISLAND CITY, NY 11101-4008
(718) 391-8300
Mailing address
195 WIMAN AVE, STATEN ISLAND, NY 10308-3344
(718) 967-9268
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
483102
NY
Other
Enumeration date
10/25/2015
Last updated
10/25/2015
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