Individual
DR. MICHAEL ANGELO MAZZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3 QUEENSLAND DR, SPENCERPORT, NY 14559-2065
(585) 352-6810
Mailing address
3 QUEENSLAND DRIVE, SPENCERPORT, NY 14559
(585) 352-6810
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
082768
NY
Other
Enumeration date
07/19/2012
Last updated
07/19/2012
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