| Doctor Name: | ALICE MAZZAFERRO |
| NPI Number: | 1194940965 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 5133 |
| Business Practice Address: | 299 Carew St Suite201 Springfield, MA - 011042301 |
| Business Phone Number: | 4137324589 |
| Business Fax Number: | |
| Mailing Address: | 85 Maxwell Rd, MONSON |
| State: | MA |
| Postal Code: | 010579438 |
| Phone Number: | 4132834316 |
| Fax Number: | |
| NPI Enumeration Date: | 04/16/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 156F00000X |
| License Number: | 5133 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Eye and Vision Services Providers |
| Taxonomy Classification: | Technician/Technologist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A broad category grouping different kinds of technologists and technicians. See individual definitions. |