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Kathryn Grace Mazzarella, NP
Gerontology Nurse Practitioner in New York, New York
NPI 1922522929

Kathryn Grace Mazzarella is a Gerontology Nurse Practitioner based in New York, NY and is specialized in Gerontology. Kathryn Grace Mazzarella practices in New York, NY and has the professional credentials of NP. The NPI Number for Kathryn Grace Mazzarella is 1922522929 and holds a License No. 927502 (New York).

The current practice location address for Kathryn Grace Mazzarella is 1275 York Ave, New York, NY and can be reached out via phone at 516-647-2075.

Location: 1275 York Ave, New York, NY, 10065-6007
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Provider Profile Details
NPI Number
1922522929
Provider Name
Kathryn Grace Mazzarella
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
1275 York Ave, New York, NY, 10065-6007
Phone Number
516-647-2075
Fax Number
Provider Enumeration Date
08/01/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
376842601 05 TX
376842602 05 TX
institution
Provider Business Practice Location Address Details
Address
1275 York Ave
City
State
Zip
10065
Phone Number
516-647-2075
Fax Number
person
Provider Business Mailing Address Details
Address
1275 York Ave
City
State
Zip
10065
Phone Number
516-647-2075
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
License No.
927502 (Texas)
Definition
Definition to come...
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