Individual
EDWARD J MAZDZER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2249 STATE ROUTE 86 STE 1, SARANAC LAKE, NY 12983-5644
(518) 891-9795
(518) 891-6302
Mailing address
206 CORNELIA ST, STE 102, PLATTSBURGH, NY 12901-2779
(518) 314-3344
(518) 314-3468
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
189159
NY
2084N0400X
Neurology Physician
48539
MA
2084N0400X
Neurology Physician
9628
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01013703
—
NY
Enumeration date
07/07/2006
Last updated
08/18/2016
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