Organization · Type 2 NPI

Mazurov Medical PC

Specialist · Staten Island, NY

NPI number 1003104456 Active

Practice location

505 Jefferson Blvd
Staten Island, NY 10312-2225

Call (718) 966-1738 Map

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X210722-1 (NY)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1003104456

Mazurov Medical PC's National Provider Identifier is 1003104456, issued on Jul 19, 2011. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Staten Island, NY. The record was last updated on Jul 19, 2011.