MARY MAZZA (NPI# 1134115645) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134115645 |
| Entity Type | Individual |
| Full Name | MARY MAZZA |
| Credential | NP |
| Practice Address |
4820 W Taft Rd Suite 209 Liverpool NY 13088-2800 |
| Practice Telephone | 3154486215 |
| Mailing Telephone | 3154486215 |
| Enumeration Date | 2005-09-21 |
| Last Update Date | 2007-09-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
F331446 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326322629 | Mary Ann Mazza | Licensed Practical Nurse | 1137 W 8th St, Erie, PA 16502-1110 | 2011-10-05 |
| 1609807031 | Mary L. Mazza | Emergency Medicine | Banner Mesa Medical Center, 1010 N. Country Club Drive, Mesa, AZ 85201-3309 | 2006-07-05 |
| 1194352450 | Mary Carol Mazza | Psychologist | 1 Park Ave Fl 8, New York, NY 10016-5802 | 2020-03-26 |
| Street Address |
4820 W TAFT RD SUITE 209 |
| City | LIVERPOOL |
| State | NY |
| Zip Code | 13088-2800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730175241 | Alessandro Giambartolomei | Internal Medicine | 4820 W Taft Rd, Suite 209, Liverpool, NY 13088-2800 | 2005-09-21 |
| 1053853283 | Amy Cambareri | Psychologist | 4820 W Taft Rd, Suite 108, Liverpool, NY 13088-2800 | 2016-11-04 |
| 1114399599 | Elizabeth Marie Carrigan | Nurse Practitioner | 4820 W Taft Rd, Suite 201, Liverpool, NY 13088-2800 | 2015-10-26 |
| 1235552639 | Paul Fallon | Dentist | 4820 W Taft Rd, Liverpool, NY 13088-2800 | 2014-01-22 |
| 1801183801 | Daniel Francis Morris | Dentist | 4820 W Taft Rd, Suite 214, Liverpool, NY 13088-2800 | 2011-06-29 |
| 1295048130 | Amy D Scullion | Nurse Practitioner | 4820 W Taft Rd, Liverpool, NY 13088-2800 | 2010-07-21 |
| 1720258205 | Endodontic Specialists, PC | Dentist | 4820 W Taft Rd, Suite 214, Liverpool, NY 13088-2800 | 2008-03-11 |
| 1720257033 | Leo A Massaro | Dentist | 4820 W Taft Rd, Suite 102, Liverpool, NY 13088-2800 | 2008-02-21 |
| 1104039742 | Hooman Ranjbaran-jahromi | Internal Medicine | 4820 W Taft Rd, #209, Liverpool, NY 13088-2800 | 2007-05-08 |
| 1992926257 | Paul Casey Fallon | Dentist | 4820 W Taft Rd, Liverpool, NY 13088-2800 | 2007-05-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245878966 | Anthony Edward Blumetti | Psychologist | 5100 W. Taft Road, Suite 3b, Liverpool, NY 13088 | 2019-12-12 |
| 1609350016 | Alice Nellenbach | Physical Therapy Assistant | 346 Electronics Pkwy, Liverpool, NY 13088 | 2018-09-20 |
| 1043741457 | Dawn Marie Thomas | Licensed Practical Nurse | 212 Old Liverpool Road, Building 7 Apartment 6, Liverpool, NY 13088 | 2017-03-27 |
| 1154775633 | Arielle L Leonard | Massage Therapist | 609 7th N. Street, Suite 2, Liverpool, NY 13088 | 2016-04-20 |
| 1942664362 | Accessibility Solutions, Inc. | Contractor | 115 Luther Avenue, Liverpool, NY 13088 | 2016-04-12 |
| 1497176333 | Sergey Golovko | Psychiatry & Neurology | 125 Sun Harbor Dr, Liverpool, NY 13088 | 2013-12-19 |
| 1205275286 | Brandon William Crandall | Nurse Practitioner | 5100 West Taft Rd., Suite 1c, Liverpool, NY 13088 | 2013-06-23 |
| 1184976805 | Audrey Irene Tyszka | Social Worker | 5100 W Taft Rd Ste 1f, Liverpool, NY 13088 | 2012-10-04 |
| 1790049096 | Kelley Beth Burt | Speech-Language Pathologist | 110 Elwood Davis Road, Liverpool, NY 13088 | 2012-07-02 |
| 1811288954 | Nedim Ruhotina | Urology | 100 Metropolitan Park Drive, Suite 100, Liverpool, NY 13088 | 2011-04-24 |
| Find all providers in zip 13088 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346859279 | Hannah G Pastuf | Nurse Practitioner | 7401 Farmstead Rd, Liverpool, NY 13088-4715 | 2020-07-27 |
| 1023626793 | Naomi L Mehmedovic | Nurse Practitioner | 8324 Oswego Rd Ste D, Liverpool, NY 13090-1086 | 2020-07-20 |
| 1437793874 | Sarah Wells | Nurse Practitioner | 5112 W Taft Rd Ste H, Liverpool, NY 13088-4991 | 2019-10-29 |
| 1629637970 | Kelly Finn | Nurse Practitioner | 4820 W Taft Rd Ste 108, Liverpool, NY 13088-4865 | 2019-06-11 |
| 1669917605 | Jesmoneet Bobb-diallo | Nurse Practitioner | H10 Spruce Tree Cir, Liverpool, NY 13090-3340 | 2016-12-29 |
| 1205275286 | Brandon William Crandall | Nurse Practitioner | 5100 West Taft Rd., Suite 1c, Liverpool, NY 13088 | 2013-06-23 |
| 1275529950 | Linda Anne Pryor | Nurse Practitioner | 1020 7th North St, Ste 220, Liverpool, NY 13088-6192 | 2005-09-27 |
| 1134732381 | Eleanor Gustke | Nurse Practitioner | 4811 Buckley Rd, Liverpool, NY 13088-3629 | 2020-08-27 |
| 1679191787 | Anna Elizabeth Salvagno | Nurse Practitioner | 7375 Oswego Rd, Liverpool, NY 13090-3717 | 2020-07-07 |
| 1669013439 | Stephanie Rech | Nurse Practitioner | 7375 Oswego Rd, Liverpool, NY 13090-3717 | 2019-10-03 |
| Find all providers in LIVERPOOL | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.