Mazza, Lisa

Mazza, Lisa is an individual health care provider with primary practice located at 2510 30Th Ave , Long Island City NY 11102-2448. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Mazza, Lisa can be contacted via phone (718) 267-4245.

Contact Information

Primary practice address
2510 30Th Ave Long Island City NY 11102-2448
Phone: (718) 267-4245
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 005839 New York

Profile Details

NPI number 1457472201
LBN Legal business name Mazza, Lisa
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 2nd, 2007
Last updated Jul 8th, 2007 - about 18 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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