IndividualActive
Jory Mazzola
NPI 1255537593 · Child & Adolescent Psychiatry Physician · Albuquerque, NM
Provider details
- NPI number
- 1255537593
- Entity type
- Individual
- Primary specialty
- Child & Adolescent Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Sex
- Female
- Sole proprietor
- No
- License
- MD2012-0122 (NM)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
2300 Menaul Blvd Ne
Albuquerque, NM 87107-1851
Phone: (505) 272-0322
Fax: (505) 272-2014
Approximate (ZIP-level) locationGet directions
Mailing address
933 Bradbury Dr Se
Albuquerque, NM 87106-4374
Registry dates
- Enumerated
- 2007-06-24
- Last updated
- 2017-03-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.