LISA MAZZA

LONG ISLAND CITY, NY
NPI1457472201
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: NY  005839)
Enumeration Date2007-04-02
Last Update Date2007-07-08
Business Address
-- LISA MAZZA PA
2510 30TH AVE
LONG ISLAND CITY, NY 11102-2448
Phone number: 718-267-4245
Mailing Address
-- LISA MAZZA PA
627 DONNA DR
OYSTER BAY, NY 11771-4512
Phone number: 516-922-7390