National Provider Identifier
Adam Walter Mizzi, RPA-C
Adam Walter Mizzi, RPA-C is listed in the NPPES registry with a primary specialty of Physician Assistant in Lakeville, NY and a listed phone number of (585) 346-4460.
Profile Overview
- NPI
- 1396944682
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- July 16, 2007
- Last Updated
- April 01, 2008
Practice Location
- 5989 Big Tree RD
- Suite A
- Lakeville, NY 14480-9719
Phone: (585) 346-4460
Specialties
- Physician Assistant (363A00000X)
Full Record
- NPI
- 1396944682
- Entity Type
- Individual
- Last Name
- Mizzi
- First Name
- Adam
- Middle Name
- Walter
- Name Prefix
- Mr.
- Credential
- RPA-C
- Mailing Street Address
- 5989 Big Tree RD
- Mailing Address Line 2
- Suite A
- Mailing City
- Lakeville
- Mailing State
- NY
- Mailing ZIP Code
- 14480-9719
- Mailing Country
- US
- Mailing Phone
- (585) 346-4460
- Mailing Fax
- (585) 346-4463
- Practice Street Address
- 5989 Big Tree RD
- Practice Address Line 2
- Suite A
- Practice City
- Lakeville
- Practice State
- NY
- Practice ZIP Code
- 14480-9719
- Practice Country
- US
- Practice Phone
- (585) 346-4460
- Practice Fax
- (585) 346-4463
- Enumeration Date
- July 16, 2007
- Last Updated
- April 01, 2008
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physician Assistant (363A00000X)