Provider Demographics
NPI:1891832697
Name:MAZZIO, JOANNE (CNM)
Entity Type:Individual
Prefix:
First Name:JOANNE
Middle Name:
Last Name:MAZZIO
Suffix:
Gender:F
Credentials:CNM
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Other - Last Name:
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Mailing Address - Street 1:50 DAYTON LANE, SUITE 202
Mailing Address - Street 2:THE WESTCHESTER MEDICAL PRACTICE PC
Mailing Address - City:PEEKSKILL
Mailing Address - State:NY
Mailing Address - Zip Code:10566
Mailing Address - Country:US
Mailing Address - Phone:914-739-0087
Mailing Address - Fax:914-737-1714
Practice Address - Street 1:1968 CROMPOND RD
Practice Address - Street 2:
Practice Address - City:CORTLANDT MANOR
Practice Address - State:NY
Practice Address - Zip Code:10567-4144
Practice Address - Country:US
Practice Address - Phone:914-736-6180
Practice Address - Fax:914-736-6183
Is Sole Proprietor?:No
Enumeration Date:2007-01-31
Last Update Date:2024-02-13
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Provider Licenses
StateLicense IDTaxonomies
NY486404-1163WX0002X
NYF000163-1367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
No163WX0002XNursing Service ProvidersRegistered NurseObstetric, High-Risk