Most Relevant Information
Provider Data
| NPI Number: | 1003677469 |
| Provider Name: | VICTOR JOSEPH MAZZARACO RN |
| Entity Type: | Individual |
| Taxonomy Code: | 163WP0808X |
| Specialty: | Registered Nurse |
| License Number: | 789188 |
Most Important Dates
| Enumeration Date: | 01/22/2024 |
| Last Updated: | 01/22/2024 |
Provider Practice Location
777 SEAVIEW AVE
STATEN ISLAND
NY
103053409
Practice Location Phone/Fax
| Phone: | 7186672648 |
| Fax: |
Provider Mailing Location
777 SEAVIEW AVE
STATEN ISLAND
NY
103053409
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |