Jory Mazzola, | |
2300 Menaul Blvd Ne, Albuquerque, NM 87107-1851 | |
(505) 272-0322 | |
(505) 272-2014 |
Full Name | Jory Mazzola |
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Gender | Female |
Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
Location | 2300 Menaul Blvd Ne, Albuquerque, New Mexico |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1255537593 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | MD2012-0122 (New Mexico) | Primary |
Entity Name | Canoncito Band Of Navajos Health Center, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578010070 PECOS PAC ID: 8325321235 Enrollment ID: O20170425001197 |
Mailing Address | Practice Location Address |
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Jory Mazzola, 933 Bradbury Dr Se, Suite 2222, Albuquerque, NM 87106-4374 Ph: (505) 272-3120 | Jory Mazzola, 2300 Menaul Blvd Ne, Albuquerque, NM 87107-1851 Ph: (505) 272-0322 |
Melissa A Merhege, Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 500 Walter St Ne Ste 213, Albuquerque, NM 87102 Phone: 505-727-7177 Fax: 505-727-3778 | |
Dr. Anju C Jaiswal, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: Children Psychiatric Hospital, 1001 Yale Blvd., Albuquerque, NM 87131 Phone: 505-272-2890 | |
George Edwin Davis, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1002 Idlewilde Ln Se, Albuquerque, NM 87108 Phone: 505-270-7479 | |
Shannon Stromberg, Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: Unm Psychiatric Ctr, 2600 Marble Ne, Albuquerque, NM 87131 Phone: 505-272-2800 Fax: 505-272-8692 | |
Liz-beth Porter, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: Unm Hospital Psychiatry, 2211 Lomas Blvd Ne, Albuquerque, NM 87131 Phone: 505-272-6225 | |
Mr. Ronald Lee Romanik, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 7520 Montgomery Blvd Ne, Suite D12, Albuquerque, NM 87109 Phone: 505-323-6969 Fax: 505-323-9696 | |
Dr. Justin F Beatty, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2616 Mesilla St Ne Ste 3, Albuquerque, NM 87110 Phone: 505-503-6300 |