Mazur, Jill G.

Mazur, Jill G. is an sole proprietor health care provider with primary practice located at 549 4Th St , Niagara Falls NY 14301-1530. She recently has 3 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Audiologist, Speech, Language and Hearing Service Providers / Assistive Technology Practitioner, Speech, Language and Hearing Service Providers / Assistive Technology Supplier. Speech, Language and Hearing Service Providers / Assistive Technology Supplier is her primary health care specialty. Mazur, Jill G. can be contacted via phone (716) 282-4130.

Contact Information

Primary practice address
549 4Th St Niagara Falls NY 14301-1530
Phone: (716) 282-4130
Fax: (716) 282-4133
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 1064 New York
Speech, Language and Hearing Service Providers / Assistive Technology Practitioner 231HA2400X 15000000829 New York
Speech, Language and Hearing Service Providers / Assistive Technology Supplier 231HA2500X 14000002100 New York

Profile Details

NPI number 1972601326
LBN Legal business name Mazur, Jill G.
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 20th, 2006
Last updated Jun 5th, 2015 - about 11 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 1972601326 NPPES
New York Other 005760313 BLUE CROSS/SHIELD
New York MEDICAID 01112954 BLUE CROSS/SHIELD
New York Other 00011183301 BLUE CROSS/SHIELD
New York Other 9209410 BLUE CROSS/SHIELD
New York Other 060725000001 BLUE CROSS/SHIELD

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