Individual provider · Type 1 NPI
Lisa Mazza, PA
Medical Physician Assistant · Long Island City, NY
NPI number
1457472201
Active
Practice location
2510 30th Ave
Long Island City, NY 11102-2448
Mailing address
627 Donna Dr
Oyster Bay, NY 11771-4512
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 005839 (NY) |
Medical Physician Assistant: Definition to come...
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- Dmitriy YusupovMedical Physician Assistant Long Island City, NY NPI 1144413741
- Minh Tam Pham, PA-CMedical Physician Assistant Long Island City, NY NPI 1164227245
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- David A. Ponton, PAMedical Physician Assistant Long Island City, NY NPI 1255415014
About NPI 1457472201
Lisa Mazza, PA's National Provider Identifier is 1457472201, issued on Apr 2, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Long Island City, NY. The record was last updated on Jul 8, 2007.