Individual
MR. THOMAS JOHN VAZZANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
501 SEAVIEW AVE, SUITE 200, STATEN ISLAND, NY 10305-3436
(718) 663-6400
(718) 663-6490
Mailing address
501 SEAVIEW AVE, STATEN ISLAND, NY 10305-3419
(718) 663-6400
(718) 663-6490
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
178326
NY
207RI0011X
Interventional Cardiology Physician
Primary
178326
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01839789
—
NY
Enumeration date
12/19/2005
Last updated
05/23/2012
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