John P Mazzara is a Medical in East Patchogue, New York. John P Mazzara practices all healthcare services and medical treatments related to Medical. The NPI Number for John P Mazzara is 1265571889. The last update date is 2019-06-24.
John P Mazzara's current location address is 285 Sills Rd Ste C, East Patchogue, New York. You can contact this provider via phone number 6316278700 and fax number 6316278707. The mailing address for John P Mazzara is 285 Sills Rd Ste C, East Patchogue, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John P Mazzara |
|---|---|
| Address | 285 Sills Rd Ste C, East Patchogue, New York |
| Phone Number | 6316278700 |
| Fax Number | 6316278707 |
| Sole Proprietor | N |
| Credentials | R.PA-C |
NPI Number Detail
| NPI Number | 1265571889 |
|---|---|
| Provider Enumeration Date | 2007-02-06 |
| Last Updated Date | 2019-06-24 |
Provider Mailing Address Detail
| Address | 285 Sills Rd Ste C |
|---|---|
| City | East Patchogue |
| State | New York (NY) |
| Post Code | 11772 |
| Phone Number | 6316278700 |
| Fax Number | 6316278707 |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | 011184-1 |
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Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
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What is the unique 10-digit identification code issued to John P Mazzara by the Centers for Medicare & Medicaid Services?
The John P Mazzara has been assigned the NPI (National Provider Identifier) 1265571889 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete address where John P Mazzara is physically located?
The John P Mazzara is situated at the following address: 285 Sills Rd Ste C, East Patchogue, NY 11772.
What is the John P Mazzara's specialty and taxonomy code?
The John P Mazzara's specialty is Medical, and the corresponding taxonomy code is 363Am0700X.
On what date did the John P Mazzara receive its 1265571889 assignment from the Centers for Medicare & Medicaid Services?
The John P Mazzara was assigned its 1265571889 by the Centers for Medicare & Medicaid Services on 2007-02-06.
As of what date were the John P Mazzara's details last updated?
The information pertaining to the John P Mazzara, including its address, specialty, and other details, was most recently updated on 2019-06-24.
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