Individual
ANTHONY MAZZOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
309 W 23RD ST, NEW YORK, NY 10011-2202
(516) 572-6637
Mailing address
309 W 23RD ST, NEW YORK, NY 10011-2202
(516) 572-6637
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
309942
NY
Other
Enumeration date
04/07/2016
Last updated
09/29/2021
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