person
Dr. Thomas V Mazzilli, MD
Radiation Oncology Physician in Kingston, New York
NPI 1194704601

Thomas V Mazzilli is a Radiation Oncology Physician based in Boalsburg, NY and is specialized in Radiation Oncology. Thomas V Mazzilli practices in Kingston, NY and has the professional credentials of MD. The NPI Number for Thomas V Mazzilli is 1194704601 and holds a License No. 198913 (New York).

The current practice location address for Thomas V Mazzilli is 111 Marys Ave, Kingston, NY and can be reached out via phone at 845-339-7700.

Location: 111 Marys Ave, Kingston, NY, 16827-1530
person
Provider Profile Details
NPI Number
1194704601
Provider Name
Thomas V Mazzilli
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
111 Marys Ave, Kingston, NY, 16827-1530
Phone Number
845-339-7700
Fax Number
Provider Enumeration Date
01/12/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2067E1 01 NY EMPIRE BCBS
000499970001 01 NY BCBS NE NY
01655361 05 NY
402509 01 NY MVP
10063093 01 NY CDPHP
000000075925 01 NY GHI HMO
2065E1 01 NY EMPIRE BCBS
4099576 01 NY GHI PPO
000499970002 01 NY BCBS NE NY
000499970004 01 NY BCBS NENY
361786 01 NY MVP
institution
Provider Business Practice Location Address Details
Address
111 Marys Ave
City
State
Zip
12401-5852
Phone Number
845-339-7700
Fax Number
person
Provider Business Mailing Address Details
Address
111 Marys Ave
City
State
Zip
12401-5852
Phone Number
845-339-7700
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Radiation Oncology
Taxonomy
License No.
198913 (New York)
Definition
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
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