Individual
MAZEN T KHALIFEH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
400 E MAIN ST, NORTHERN WESTCHESTER HOSPITAL, MOUNT KISCO, NY 10549-3417
(914) 666-1862
(914) 666-1444
Mailing address
400 E MAIN ST, NORTHERN WESTCHESTER HOSPITAL, MOUNT KISCO, NY 10549-3417
(914) 666-1862
(914) 666-1444
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
174872
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000013799
GHI-HMO
—
01
—
0051108
AETNA-HMO
—
05
—
01273578
—
NY
01
—
100986380-T816
CDPHP PROVIDER NUMBER
—
01
—
1291474
UNITED HEALTHCARE PIN #
—
01
—
1305499
FIRST HEALTH-COVENTRY
—
01
—
1999886
GHI-PPO
—
01
—
414789
MVP HEALTHPLAN
—
01
—
4323190
AETNA PPO
—
01
—
5C5441
HEALTHNET
—
01
—
89F251
EMPIRE BC-BS
—
01
—
WS1315
OXFORD
—
Enumeration date
09/01/2005
Last updated
07/09/2007
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