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SPENCER THOMAS MAZZILLI
NPI 1730036369
Student in an Organized Health Care Education/Training Program in Mineola, NY

Active since March 12, 2026
200 OLD COUNTRY RD, MINEOLA, NY 11501(516) 663-2752 Get Directions Write a Review

NPPES record last updated: March 12, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Spencer Thomas Mazzilli NPPES

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

SPENCER THOMAS MAZZILLI (NPI 1730036369) is an individual student in an organized health care education/training program in Mineola, New York and active in the NPI registry since March 2026.

NPPES Registry Identity

NPI1730036369
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameSPENCER THOMAS MAZZILLI
Location Address200 OLD COUNTRY RDMineola, NY 11501-4235
Mailing Address1 Springfield CtCortlandt Manor, NY 10567-5141
Phone(516) 663-2752
Sole ProprietorYes
Enumeration DateMarch 12, 2026
NPPES CertifiedMarch 12, 2026
✔ NPI 1730036369 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
200 OLD COUNTRY RD, Mineola, NY 11501
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Other Providers at the Same Location NPPES 20

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

STEPHEN P YANG M.D.
Internal Medicine (Nephrology)
200 OLD COUNTRY RD
MINEOLA, NY 11501
Nassau County (516) 663-2169
MICHAEL GARRISON M.D.
Internal Medicine (Hematology & Oncology)
200 OLD COUNTRY RD, SUITE 450
MINEOLA, NY 11501
Nassau County (516) 663-9500
MONICA DA SILVA OLIVEIRA PA-C
Physician Assistant
200 OLD COUNTRY RD
MINEOLA, NY 11501
Nassau County (516) 877-0977
TOBIRAS JERUSALEM BARAO WHITFIELD DDS
Student in an Organized Health Care Education/Training Program
200 OLD COUNTRY RD
MINEOLA, NY 11501
Nassau County (516) 663-2752
MRS. ABIGAIL ROSE MCNALL FNP
Nurse Practitioner (Family)
200 OLD COUNTRY RD, SUITE 370
MINEOLA, NY 11501
Nassau County (516) 663-4525
DR. STUART ROBERT SHERMAN D.O.
Dermatology
200 OLD COUNTRY RD, SUITE 366
MINEOLA, NY 11501
Nassau County (516) 741-1730
DR. MICHAEL LAWRENCE FRIEDMAN M.D.
Internal Medicine (Cardiovascular Disease)
200 OLD COUNTRY RD, SUITE 278
MINEOLA, NY 11501
Nassau County (516) 877-0977
BEHZAD PAIMANY MD
Internal Medicine (Cardiovascular Disease)
200 OLD COUNTRY RD, # 278
MINEOLA, NY 11501
Nassau County (516) 877-0977

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 Spencer Mazzilli's NPI number?

The NPI number for Spencer Mazzilli is 1730036369. It was assigned to this individual provider in the NPPES registry on March 12, 2026.

Where is Spencer Mazzilli located?

Spencer Mazzilli practices at 200 Old Country Rd, Mineola, NY 11501. The listed phone number is (516) 663-2752.

What is Spencer Mazzilli's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Spencer Mazzilli was last updated on March 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.