Owen Mazon LCSW-R

NPI 1063577856 - Social Worker - 1041C0700X

NPI Details
NPI 1063577856
Gender Male
Enumeration Date 12/22/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
3801 HUDSON MANOR TER APT 6P
BRONX NY, 10463-1107, US
Phone (718) 796-0696
Fax
Business Location
3801 HUDSON MANOR TER APT 6P
BRONX NY, 10463-1107, US
Phone (718) 796-0696
Fax
Toxanomy
Taxonomy Code 1041C0700X
License State New York
License Number R050092-1
Remove 1063577856 NPI Number
 

According to our database, Mr. Owen Mazon LCSW-R NPI is 1063577856, taxonomy code is 1041C0700X and license number is R050092-1, license state is located at New York. Owen Mazon LCSW-R physically located at 3801 Hudson Manor Ter Apt 6p, Bronx NY, 10463-1107. NPI Number Owen Mazon LCSW-R has the Individual type.

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1063577856 NPI number is provided on an as is basis without warranty of any kind. 1063577856 is maintained by the National Plan & Provider Enumeration System. The contents of Owen Mazon LCSW-R are for informational purposes only.