Individual
BARBARA D MAZZOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
100 MAPLE AVE, SMITHTOWN, NY 11787-3502
(631) 265-7671
Mailing address
20 BYRON RD, COMMACK, NY 11725-1342
(631) 864-2585
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
303944
NY
Other
Enumeration date
03/01/2007
Last updated
01/30/2024
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