Individual
MARY MAZGAJ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1199 PARK AVE APT 1C, NEW YORK, NY 10128-1712
(212) 828-7473
Mailing address
1199 PARK AVE APT 1C, NEW YORK, NY 10128-1712
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
404621
NY
Other
Enumeration date
10/02/2012
Last updated
08/07/2024
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