Individual
DR. CARL MAZZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW, DSW
Contact information
Practice address
999 BRUSH HOLLOW RD, WESTBURY, NY 11590-1704
(516) 997-2926
Mailing address
2 JARVIS PL, LYNBROOK, NY 11563-3702
(516) 593-1886
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
019610
NY
Other
Enumeration date
07/03/2007
Last updated
07/08/2007
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