Individual
DR. ALFREDO LORENZO MAZZUCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
33 W 42ND ST, NEW YORK, NY 10036-8005
(212) 938-4000
Mailing address
4004 34TH AVE APT 504, LONG ISLAND CITY, NY 11101-8542
(845) 417-7539
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
009593
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/16/2022
Last updated
07/13/2022
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