Craig Michael Mozzillo in Brooklyn - Physician Assistant
Craig Michael Mozzillo - NPI 1043304884
Craig Michael Mozzillo is a Physician Assistant in Brooklyn, New York. Craig Michael Mozzillo practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Craig Michael Mozzillo is 1043304884. The last update date is 2023-05-01.
Craig Michael Mozzillo's current location address is 506 6th St, Brooklyn, New York. You can contact this provider via phone number 7187805040 and fax number 7187807805. The mailing address for Craig Michael Mozzillo is 506 6th St, Brooklyn, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Craig Michael Mozzillo |
|---|---|
| Address | 506 6th St, Brooklyn, New York |
| Phone Number | 7187805040 |
| Fax Number | 7187807805 |
| Sole Proprietor | Y |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1043304884 |
|---|---|
| Provider Enumeration Date | 2006-10-03 |
| Last Updated Date | 2023-05-01 |
Provider Mailing Address Detail
| Address | 506 6th St |
|---|---|
| City | Brooklyn |
| State | New York (NY) |
| Post Code | 112153609 |
| Phone Number | 7187805040 |
| Fax Number | 7187807805 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 8302 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5F2931 | NY | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Craig Michael Mozzillo?
The Craig Michael Mozzillo has been issued the NPI (National Provider Identifier) 1043304884 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete address where Craig Michael Mozzillo is physically located?
The Craig Michael Mozzillo is situated at the following address: 506 6Th St, Brooklyn, NY 112153609.
What is Craig Michael Mozzillo's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Craig Michael Mozzillo's specialized field of practice is Physician Assistant, and the corresponding taxonomy code that categorizes this area of specialization is 363A00000X.
On what date did the Craig Michael Mozzillo receive its 1043304884 assignment from the Centers for Medicare & Medicaid Services?
The Craig Michael Mozzillo was assigned its 1043304884 by the Centers for Medicare & Medicaid Services on 2006-10-03.
When was the information pertaining to Craig Michael Mozzillo most recently updated or revised?
The details related to Craig Michael Mozzillo, including its address, specialty, and other relevant information, were last updated or revised on 2023-05-01.
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