Individual
DAVID S MAZZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7 LEXINGTON AVENUE, SUITE 3, NEW YORK, NY 10010-5530
(212) 677-7170
(212) 677-8501
Mailing address
316 E 30TH ST FL 2, NEW YORK, NY 10016-8366
(212) 614-0089
(212) 253-9631
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
136247
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010136247NY01
ANTHEM HEALTH
—
01
—
6710725004
CIGNA
—
01
—
80A881
BLUE CROSS POS PPO & SENI
—
Enumeration date
07/21/2006
Last updated
04/26/2021
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