Individual ProviderGina Marie MazzaraChiropractorChiropractic ProvidersPractice Address300 E 56th St, Ground Floor, New York, NY 10022-4136(212) 935-1700PECOS EnrollmentBased on the most recent information from CMS, provider Gina Marie Mazzara does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 4 days ago.Profile DetailsProvider ID1962593384Provider TypeIndividualFull NameMazzara, Gina MarieTitleDr.CredentialD.C.GenderFemaleSole ProprietorYesEnumeration Date9/28/2006Last Updated7/8/2007Contact InformationPractice LocationPractice Address300 E 56th St, Ground Floor, New York, NY 10022-4136Phone(212) 935-1700Fax(212) 753-9856Mailing LocationMailing Address300 E 56th St, Ground Floor, New York, NY 10022-4136Phone(212) 935-1700Fax(212) 753-9856Provider TaxonomiesCodeDescriptionLicenseCode111N00000XPrimaryDescriptionChiropractorChiropractic ProvidersLicenseX008585-1New YorkProvider IdentifiersIDDescriptionIssuerIDCO-8585-4DescriptionOtherIssuerWORKERS COMPENSATIONNew YorkIDP2129236DescriptionOtherIssuerOXFORDNew YorkID1013480DescriptionOtherIssuerAMERICAN SPECIALTY HEALTHNew YorkID89023DescriptionOtherIssuerHEALTHNETNew YorkIDX93051DescriptionOtherIssuerBLUE CROSS/BLUE SHIELDNew York