| Doctor Name: | DAVID C MAZZINI |
| NPI Number: | 1013044148 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LMSW |
| License Number: | 073599-1 |
| Business Practice Address: | 33 Mitchell Ave Suite G-80 Binghamton, NY - 139031642 |
| Business Phone Number: | 6077622307 |
| Business Fax Number: | |
| Mailing Address: | 346 Grand Ave, JOHNSON CITY |
| State: | NY |
| Postal Code: | 137902558 |
| Phone Number: | 6077298156 |
| Fax Number: | 6077293982 |
| NPI Enumeration Date: | 02/27/2007 |
| NPI Last Update Date: | 05/28/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 073599-1 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |