Sebastian Angelo Mazzotta M.D.

NPI 1013917624 - Internal Medicine - 207RG0100X

NPI Details
NPI 1013917624
Gender Male
Enumeration Date 07/26/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
4 STILLMAN DR
CANTON NY, 13617-1221, US
Phone (315) 386-8141
Fax (315) 386-8493
Business Location
4 STILLMAN DR
CANTON NY, 13617-1221, US
Phone (315) 386-8141
Fax (315) 386-8493
Toxanomy
Taxonomy Code 207RG0100X
License State New York
License Number 130060-1
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According to our database, Dr. Sebastian Angelo Mazzotta M.D. NPI is 1013917624, taxonomy code is 207RG0100X and license number is 130060-1, license state is located at New York. Sebastian Angelo Mazzotta M.D. physically located at 4 Stillman Dr, Canton NY, 13617-1221. NPI Number Sebastian Angelo Mazzotta M.D. has the Individual type.

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1013917624 NPI number is provided on an as is basis without warranty of any kind. 1013917624 is maintained by the National Plan & Provider Enumeration System. The contents of Sebastian Angelo Mazzotta M.D. are for informational purposes only.