Individual
DANIEL MAZZONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN, BSN
Contact information
Practice address
1146 WOODCREST AVE, RIVERHEAD, NY 11901-2016
(631) 655-5895
Mailing address
32 LAKESIDE DR, CENTERPORT, NY 11721-1514
(631) 655-5895
Taxonomy
Speciality
Code
Description
License number
State
163WG0600X
Gerontology Registered Nurse
Primary
671840
NY
Other
Enumeration date
04/29/2021
Last updated
04/29/2021
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