Individual provider · Type 1 NPI

Maxwell Sebastian Mazzarino

Surgical Physician Assistant · New York, NY

NPI number 1417501289 Active

Practice location

1275 York Ave
New York, NY 10065-6007

Call (212) 639-2000 Map

Mailing address

630 1st Ave
New York, NY 10016-3700

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XNone listed

Surgical Physician Assistant: Definition to come...

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About NPI 1417501289

Maxwell Sebastian Mazzarino's National Provider Identifier is 1417501289, issued on Jul 30, 2019. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in New York, NY. The record was last updated on Apr 3, 2021.