Mazzeo, Carla J
Mazzeo, Carla J is an sole proprietor health care provider with primary practice located at 52 S Manheim Blvd , New Paltz NY 12561-2406. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Mazzeo, Carla J can be contacted via phone (845) 255-2259.Contact Information
Primary practice address
52 S Manheim Blvd
New Paltz NY 12561-2406
Phone: (845) 255-2259
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 015365 | New York |
Profile Details
| NPI number | 1689704496 |
|---|---|
| LBN Legal business name | Mazzeo, Carla J |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 7th, 2007 |
| Last updated | Sep 16th, 2009 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1689704496 | NPPES |
| New York | Other | 696751 | MVP INSURANCE |
| New York | Other | P2819354 | MVP INSURANCE |
| New York | Other | 1689704496 | MVP INSURANCE |
| New York | MEDICAID | 02393002 | MVP INSURANCE |
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