DR. DINO GERARD MAZZARA D.C. NPI 1104999457

NPI Information

NPI: 1104999457
Provider Name: DR. DINO GERARD MAZZARA, D.C.
Classification: Chiropractor - 111N00000X
Entity Type: Individual
Address:
600 E GENESEE ST
SUITE 114
SYRACUSE, NY
ZIP 13202
Phone: (315) 314-7129
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DR. Dino Gerard Mazzara, D.C. is a chiropractor in Syracuse, NY with 27 years of experience. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. DR. Dino Gerard Mazzara, D.C. NPI is 1104999457. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: NEW YORK CHIROPRACTIC COLLEGE
Graduation Year:1997

The provider's business location address is:

600 E GENESEE ST
SUITE 114
SYRACUSE, NY
ZIP 13202-130
Phone: (315) 314-7129
Fax: (315) 314-7133

The enumeration date for this NPI number is 11/16/2006 and was last updated on 2/25/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	111N00000X	Chiropractor		XOOO8584	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	X6U381	MEDICARE UPIN	NEW YORK
2	X6U381	MEDICARE ID-TYPE UNSPECIFIED	NEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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