Individual
CARLEEN A MAZZIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11 RUTLEDGE COMMONS, YAPHANK, NY 11980-2028
(631) 334-5780
Mailing address
11 RUTLEDGE COMMONS, YAPHANK, NY 11980-2028
(631) 334-5780
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
098635
NY
Other
Enumeration date
05/20/2012
Last updated
05/20/2012
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