Individual provider · Type 1 NPI
Sirrah Mazellan
Student in an Organized Health Care Education/Training Program · Bronx, NY
NPI number
1003365537
Active
Practice location
350 E 146th St
Bronx, NY 10451-5702
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | 009060 (NY) |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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About NPI 1003365537
Sirrah Mazellan's National Provider Identifier is 1003365537, issued on Sep 26, 2016. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Bronx, NY. The record was last updated on Sep 26, 2016.