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DR. SEBASTIAN ANGELO MAZZOTTA M.D.
NPI 1013917624
Internal Medicine - Gastroenterology in Canton, NY

Active since July 26, 2005
4 STILLMAN DR, CANTON, NY 13617(315) 386-8141(315) 386-8493 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Sebastian Angelo Mazzotta M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SEBASTIAN ANGELO MAZZOTTA M.D. (NPI 1013917624) is an individual gastroenterology provider in Canton, New York, licensed in New York (130060-1) and active in the NPI registry since July 2005.

NPPES Registry Identity

NPI1013917624
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameDR. SEBASTIAN ANGELO MAZZOTTACredential: M.D.
Location Address4 STILLMAN DRCanton, NY 13617-1221
Mailing Address4 Stillman DrCanton, NY 13617-1221 · (315) 386-8141 · Fax (315) 386-8493
Phone(315) 386-8141
Fax(315) 386-8493
Sole ProprietorYes
Enumeration DateJuly 26, 2005
Last NPPES UpdateJuly 8, 2007
✔ NPI 1013917624 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in NY · 130060-1
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
4 STILLMAN DR, Canton, NY 13617
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Other Identifiers 3

Medicare ID-Type Unspecified37202BNY
Medicare UPINB81690NY
Medicaid00630699NY

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SEBASTIAN A MAZZOTTA PC
Internal Medicine (Gastroenterology)
4 STILLMAN DR
CANTON, NY 13617
St. Lawrence County (315) 386-8141

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sebastian Mazzotta's NPI number?

The NPI number for Sebastian Mazzotta is 1013917624. It was assigned to this individual provider in the NPPES registry on July 26, 2005.

Where is Sebastian Mazzotta located?

Sebastian Mazzotta practices at 4 Stillman Dr, Canton, NY 13617. The listed phone number is (315) 386-8141.

What is Sebastian Mazzotta's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

When was this NPI record last updated?

The NPPES record for Sebastian Mazzotta was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.