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Contact Information

JOHN P MAZZARA, R.PA-C
285 SILLS RD STE C
EAST PATCHOGUE, NY11772
 Phone: 631-627-8700
 Fax: 631-627-8707
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical

363AM0700X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for JOHN P MAZZARA · (Male)

NPI # 1265571889
Status Active
Credentials R.PA-C
Entity Individual
Enumeration date 02/06/2007
Last updated 06/24/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 011184-1
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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