Sebastian A Mazzotta Pc | |
4 Stillman Dr Canton NY 13617-1221 | |
(315) 386-8141 | |
(315) 386-8493 |
Full Name | Sebastian A Mazzotta Pc |
---|---|
Speciality | Internal Medicine - Gastroenterology |
Location | 4 Stillman Dr, Canton, New York |
Authorized Official Name and Position | Christine Anne Laquier (OFFICE MANAGER) |
Authorized Official Contact | 3153868141 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Sebastian A Mazzotta Pc 4 Stillman Dr Canton NY 13617-1221 Ph: (315) 386-8141 | Sebastian A Mazzotta Pc 4 Stillman Dr Canton NY 13617-1221 Ph: (315) 386-8141 |
NPI Number | 1932402781 |
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Provider Enumeration Date | 12/17/2010 |
Last Update Date | 07/09/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1932402781 | NPI | - | NPPES |
00630699 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0100X | Internal Medicine - Gastroenterology | 130060 (New York) | Primary |
Canton Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 39 W Main St, Canton, NY 13617 Phone: 315-379-4700 | |
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St Lawrence County Public Health - Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 80 State Highway 310 Ste 2, Canton, NY 13617 Phone: 315-386-2325 Fax: 315-386-2203 |