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Organization
MAZLEN MEDICAL ARTS, P.C.
Active
Organization
MAZLEN MEDICAL ARTS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROGER G MAZLEN MD (PRESIDENT/OWNER)
(516) 869-0717
Entity
Organization
Contact information
Practice address
30 MIDDLENECK RD, ROSLYN, NY 11576-1344
(516) 868-0717
(516) 869-0718
Mailing address
30 MIDDLENECK RD, 1F, ROSLYN, NY 11576-1344
(516) 869-0717
(516) 869-0718
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0925861
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0925861
LICENSE
NY
Enumeration date
07/25/2008
Last updated
07/25/2008
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