DR. MICHAEL ANGELO MAZZA (NPI# 1841545415) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841545415 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL ANGELO MAZZA |
| Credential | M.D. |
| Practice Address |
3 Queensland Dr Spencerport NY 14559-2065 |
| Mailing Address |
3 Queensland Drive Spencerport NY 14559 |
| Practice Telephone | 5853526810 |
| Mailing Telephone | 5853526810 |
| Enumeration Date | 2012-07-19 |
| Last Update Date | 2012-07-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 082768 | NY | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346626330 | Michael Mazza | Pharmacist | 560 1st Ave, New York, NY 10016-6402 | 2015-08-03 |
| 1639250764 | Michael Mazza | Radiology | 1500 East Medical Center Dr, B1 Floor University Hospital Recp C, Ann Arbor, MI 48109-5030 | 2006-10-17 |
| 1083633788 | Michael Anthony Mazza | Specialist | 1 Hanson Pl, Ste 708, Brooklyn, NY 11243-2900 | 2006-07-19 |
| Street Address |
3 QUEENSLAND DR |
| City | SPENCERPORT |
| State | NY |
| Zip Code | 14559-2065 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891343406 | Barbara Lucas | Technician | 3429 Big Ridge Rd., Spencerport, NY 14559 | 2019-08-27 |
| 1003302720 | Melissa Sue Delaporte | Licensed Practical Nurse | 1055 Ogden Parma Tl Rd, Spencerport, NY 14559 | 2018-07-05 |
| 1235648130 | Kathleen Simonds | Registered Nurse | 3589 Big Ridge Road, Spencerport, NY 14559 | 2017-09-22 |
| 1972030757 | Hamad Ghazle | Radiologic Technologist | 7 Chamber Valley Estates, Spencerport, NY 14559 | 2017-05-11 |
| 1306393855 | Gloria Gregory | Licensed Practical Nurse | 1279 Vroom Rd, Spencerport, NY 14559 | 2016-09-01 |
| 1952763609 | Sharese Dyson | Licensed Practical Nurse | 104 Teaberry Drive, Spencerport, NY 14559 | 2016-03-22 |
| 1447646369 | Elizabeth K Gagnier | Family Medicine | 4 Land Re Way Ste 100, Spencerport, NY 14559 | 2015-04-07 |
| 1578840419 | Lynn Ann Rinaldo | Occupational Therapist | 3599 Big Ridge Road, Spencerport, NY 14559 | 2011-11-07 |
| 1972893709 | Teresa Marie Zappia-sinicropi | Physical Therapist | 1 Ranger Rd, Spencerport, NY 14559 | 2011-04-13 |
| 1568767499 | Tracy Lee Gillette | Counselor | 115 Webster Rd., Spencerport, NY 14559 | 2011-01-25 |
| Find all providers in zip 14559 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962637975 | Dominic Peter Divincenzo | General Practice | 3604 Big Ridge Rd, Spencerport, NY 14559-1710 | 2009-05-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003420472 | Theodean Smith-lawrence | General Practice | 7 Smoke Rise Ln, Wappingers Falls, NY 12590-1220 | 2020-09-03 |
| 1891304325 | Christopher R. Page, M.d., Pllc | General Practice | 46 Route 25a Ste 6, Setauket, NY 11733-2807 | 2020-07-30 |
| 1740804442 | Aliza Hakimian | General Practice | 15 Hill Park Ave Apt 2n, Great Neck, NY 11021-3709 | 2020-05-29 |
| 1962022152 | Lynnette Lallave - Cortes | General Practice | 2 Seaman Ave Apt 1d, New York, NY 10034-2904 | 2020-04-17 |
| 1942829759 | Northeasttelemedicine | General Practice | 483 Coolidge Hill Rd, Diamond Point, NY 12824 | 2020-04-11 |
| 1578198826 | Online Care Medicine PC | General Practice | 26 Oldox Rd, Delmar, NY 12054-2943 | 2020-03-06 |
| 1821621301 | Donnet Andrea Riley | General Practice | 781 Palmer Rd Apt 3a, Bronxville, NY 10708-3309 | 2020-02-12 |
| 1104463652 | Ohad Shimshon Bentur | General Practice | 450 E 63rd St Apt 3g, New York, NY 10065-7957 | 2019-12-03 |
| 1285278291 | Echo Clinical Associates LLC | General Practice | 56 Echo Ave., Ste 1, Miller Place, NY 11764-2454 | 2019-11-01 |
| 1710528583 | Debra Heverly | General Practice | 2315 Whirlpool St # 415, Niagara Falls, NY 14305-2413 | 2019-10-03 |
| Find all providers with the same taxonomy | ||||
| City | SPENCERPORT |
| Zip Code | 14559 |
Please comment or provide details below to improve the information on DR. MICHAEL ANGELO MAZZA.
| 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.