| Doctor Name: | MRS. BRACHA MAZIN |
| NPI Number: | 1053694919 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PA-C |
| License Number: | 25MP00114100 |
| Business Practice Address: | 699 Teaneck Rd Teaneck, NJ - 076664244 |
| Business Phone Number: | 2016454336 |
| Business Fax Number: | 2019171452 |
| Mailing Address: | 987 Allen Ct, TEANECK |
| State: | NJ |
| Postal Code: | 076665501 |
| Phone Number: | 2013575365 |
| Fax Number: | |
| NPI Enumeration Date: | 09/27/2011 |
| NPI Last Update Date: | 09/27/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | 25MP00114100 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |