Amanda Rose Mazzone LMSW

NPI 1497133979 - Social Worker - 104100000X

NPI Details
NPI 1497133979
Gender Female
Enumeration Date 05/15/2015
Last Updated 05/15/2015
Entity Type Individual
Active Over 2 years ago
Practice Location
1461 LAKELAND AVE UNIT 12
BOHEMIA NY, 11716-2174, US
Phone (631) 732-4794
Fax
Business Location
1461 LAKELAND AVE UNIT 12
BOHEMIA NY, 11716-2174, US
Phone (631) 732-4794
Fax
Toxanomy
Taxonomy Code 104100000X
License State New York
License Number 72094788
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According to our database, Miss Amanda Rose Mazzone LMSW NPI is 1497133979, taxonomy code is 104100000X and license number is 72094788, license state is located at New York. Amanda Rose Mazzone LMSW physically located at 1461 Lakeland Ave Unit 12, Bohemia NY, 11716-2174. NPI Number Amanda Rose Mazzone LMSW has the Individual type.

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1497133979 NPI number is provided on an as is basis without warranty of any kind. 1497133979 is maintained by the National Plan & Provider Enumeration System. The contents of Amanda Rose Mazzone LMSW are for informational purposes only.