Maria, Mazen H

Maria, Mazen H is an individual health care provider with primary practice located at 1 Chimney Point Dr , Ogdensburg NY 13669-2291. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry is his primary health care specialty. Maria, Mazen H can be contacted via phone (315) 541-2117.

Contact Information

Primary practice address
1 Chimney Point Dr Ogdensburg NY 13669-2291
Fax: (315) 541-2164
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 217038 New York
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 217038 New York
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X 217038 New York

Profile Details

NPI number 1154367969
LBN Legal business name Maria, Mazen H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2006
Last updated May 10th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154367969 NPPES
New York MEDICAID 02144618

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