Individual
DAVID S MAZZA
Active
Individual
DAVID S MAZZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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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