Anthony Mazza | Brooklyn, NY • PECOS Search

Anthony Mazza

Social Worker

Behavioral Health & Social Service Providers

324 Leonard St, Brooklyn, NY 11211-2310

PECOS Enrollment

Based on the most recent information from CMS, provider Anthony Mazza does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 9:43 AM.

Profile Details

Provider ID
1366731721
Provider Type
Individual
Full Name
Mazza, Anthony
Title
Mr.
Credential
LCSW

Gender
Male
Sole Proprietor
Yes
Enumeration Date
4/6/2011
Last Updated
4/6/2011

Contact Information

Practice Location

324 Leonard St, Brooklyn, NY 11211-2310

Unlisted Fax

Mailing Location

324 Leonard St, Brooklyn, NY 11211-2310

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License 077499 New York