Sebastian a Mazzotta PC

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

130060 Issued in NY

Legal business name

SEBASTIAN A MAZZOTTA PC

Practice address

4 Stillman Dr
Canton, NY 13617-1221

Phone

(315) 386-8141

Fax

(315) 386-8493

NPI assigned

Dec 17, 2010

Last updated

Jul 9, 2015By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Christine Anne Laquier

Title

Office Manager

Phone

(315) 386-8141

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1292544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436400000000",
    "number": "1932402781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 STILLMAN DR",
            "city": "CANTON",
            "state": "NY",
            "postal_code": "136171221",
            "telephone_number": "315-386-8141",
            "fax_number": "315-386-8493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 STILLMAN DR",
            "city": "CANTON",
            "state": "NY",
            "postal_code": "136171221",
            "telephone_number": "315-386-8141",
            "fax_number": "315-386-8493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEBASTIAN A MAZZOTTA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-17",
        "last_updated": "2015-07-09",
        "status": "A",
        "authorized_official_last_name": "LAQUIER",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "315-386-8141",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "130060",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00630699",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John B Savage, MD
• Ben Albert Scharf
• Jacqueline Schwartz, LMHC
• Joanne B Scott, PA
• Christine Scuderi
• Amanda J Seeger, NYS-CCC-SLP
• Shari Slye Sharpe
• Joey P Shelly, RN
• Jeselyn Simpson, RN
• Karen A Simpson, OTR/L

• Gastroenterology Physician in Canton, NY
• Providers in Canton, NY by specialty
• Gastroenterology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.