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Individual

RENATA N MAZZEI -KLOKIW

Active
Find providers by NPI
Individual

RENATA N MAZZEI -KLOKIW

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
229963
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000084125
GHI-HMO
NY
01
—
000404963001
BLUE SHIELD/HEALTHNOW
NY
05
—
02600448
—
NY
01
—
040426006874
FIDELIS
NY
01
—
10076504
CDPHP
NY
01
—
11316316
CAQH
—
01
—
400762
MVP
NY
01
—
4282N1
BLUE CROSS
NY
01
—
7843670
AETNA
NY
01
—
9744189
GHI-PPO
NY
01
—
P00196354
RAILROAD MEDICARE
—
Enumeration date
01/25/2006
Last updated
04/05/2018
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