Individual provider · Type 1 NPI

Marianne Mazza, P.A.

Medical Physician Assistant · Bayside, NY

NPI number 1093905770 Active

Practice location

2901 216th St
Bayside, NY 11360-2810

Fax (718) 281-8590

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X002408 (NY)

Medical Physician Assistant: Definition to come...

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About NPI 1093905770

Marianne Mazza, P.A.'s National Provider Identifier is 1093905770, issued on Jul 27, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Bayside, NY. The record was last updated on Jul 27, 2007.