Mazdzer, Edward J

Mazdzer, Edward J is an sole proprietor health care provider with primary practice located at 2249 State Route 86 Ste 1 , Saranac Lake NY 12983-5644. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Mazdzer, Edward J can be contacted via phone (518) 891-9795.

Contact Information

Primary practice address
2249 State Route 86 Ste 1 Saranac Lake NY 12983-5644
Phone: (518) 891-9795
Fax: (518) 891-6302
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 189159 New York
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 48539 Massachusetts
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 9628 Vermont

Profile Details

NPI number 1043242431
LBN Legal business name Mazdzer, Edward J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 7th, 2006
Last updated Aug 18th, 2016 - about 10 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 1043242431 NPPES
New York MEDICAID 01013703

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