Dr. Sebastian Angelo Mazzotta
Gastroenterologist
4 Stillman Dr
Canton
, New York 13617-1221
Dr. Sebastian Angelo Mazzotta
Gastroenterologist
4 Stillman Dr
Canton
, New York 13617-1221
(315) 386-8493
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About
Features
Specialties
- Gastroenterologist
Languages spoken
- English
Location
First Address
- Dr. Sebastian Angelo Mazzotta
- 4 Stillman Dr
- Canton, NY
- Zip : 13617-1221
- Fax : (315) 386-8493
- Phone : (315) 386-8141
Second Address
- Dr. Sebastian Angelo Mazzotta
- 4 Stillman Dr
- Canton, NY
- Zip : 13617-1221
- Fax : (315) 386-8493
- Phone : (315) 386-8141
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RG0100X | Gastroenterologist | 130060-1 | NY |
National Provider Identifier
| NPI | 1013917624 |
|---|---|
| Provider Name | Dr. Sebastian Angelo Mazzotta |
| First Address | Canton, NY 13617-1221 |
| Second Address | Canton, NY 13617-1221 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 26/07/2005 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 00630699 | (05) | NY |
| B81690 | (02) | NY |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.