Craig Michael Mozzillo PA-C

NPI 1043304884 - Physician Assistant - 363A00000X

NPI Details
NPI 1043304884
Gender Male
Enumeration Date 10/03/2006
Last Updated 04/28/2010
Entity Type Individual
Active Over 10 years ago
Practice Location
1879 MADISON AVE
NEW YORK NY, 10035-2709, US
Phone (212) 423-4000
Fax
Business Location
506 6TH ST
BROOKLYN NY, 11215-3609, US
Phone (718) 780-5040
Fax
Toxanomy
Taxonomy Code 363A00000X
License State New York
License Number 008302
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According to our database, Craig Michael Mozzillo PA-C NPI is 1043304884, taxonomy code is 363A00000X and license number is 008302, license state is located at New York. Craig Michael Mozzillo PA-C physically located at 1879 Madison Ave, New York NY, 10035-2709. NPI Number Craig Michael Mozzillo PA-C has the Individual type.

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1043304884 NPI number is provided on an as is basis without warranty of any kind. 1043304884 is maintained by the National Plan & Provider Enumeration System. The contents of Craig Michael Mozzillo PA-C are for informational purposes only.