MIMMA MAZZOLA, PA-C
Physician Assistant
Active
Individual
NPI: 1356975411
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant | 363A00000X | Yes | 025302 (NY) |
Frequently Asked Questions
NPI 1356975411 is the National Provider Identifier for MIMMA MAZZOLA, PA-C, a Physician Assistant provider located in Melville, NY. This NPI was enumerated on February 27, 2020.
MIMMA MAZZOLA, PA-C practices at 510 BROADHOLLOW RD, Melville, NY 11747.
Quick Facts
- NPI
- 1356975411
- Type
- Individual
- Enumerated
- Feb 27, 2020
- Last Updated
- May 7, 2024
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