Mazza, Bruno Robert

Mazza, Bruno Robert is an individual health care provider with primary practice located at 555 Saint Josephs Blvd Ste M2 , Elmira NY 14901-3223. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Mazza, Bruno Robert can be contacted via phone (607) 734-7121.

Contact Information

Primary practice address
555 Saint Josephs Blvd Ste M2 Elmira NY 14901-3223
Phone: (607) 734-7121
Fax: (607) 734-0614
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 131718 New York

Profile Details

NPI number 1356450381
LBN Legal business name Mazza, Bruno Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Nov 25th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356450381 NPPES
New York MEDICAID 102786210
New York MEDICAID 00584616

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