Individual
MR. JOSEPH PAUL MAZZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
483 SAND HILL RD, WANTAGH, NY 11793-1225
(516) 983-5524
Mailing address
483 SAND HILL RD, WANTAGH, NY 11793-1225
(516) 983-5524
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
440012
NY
Other
Enumeration date
12/30/2006
Last updated
07/09/2007
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