Individual provider · Type 1 NPI
John P. Mazzara, R.PA-C
Medical Physician Assistant · East Patchogue, NY
NPI number
1265571889
Active
Practice location
285 Sills Rd Ste C
East Patchogue, NY 11772
Fax (631) 627-8707
Mailing address
259 1st St
Mineola, NY 11501-3957
Other practice locations
- 259 1st St, Mineola, NY 11501-3957 · (631) 455-2592
- 259 1st St, Mineola, NY 11501-3957 · (631) 455-2592
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 011184-1 (NY) |
Medical Physician Assistant: Definition to come...
Other medical physician assistant providers in East Patchogue
About NPI 1265571889
John P. Mazzara, R.PA-C's National Provider Identifier is 1265571889, issued on Feb 6, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in East Patchogue, NY. The record was last updated on Jun 24, 2019.