Individual
BRIAN MAZURE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
70 GLEN COVE RD #301, ROSLYN HGTS, NY 11577-1726
(516) 621-1502
(516) 621-1162
Mailing address
70 GLEN COVE RD, 301, ROSLYN HTS, NY 11577-1726
(516) 621-1502
(516) 621-1162
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2352041
NY
Other
Enumeration date
04/26/2006
Last updated
07/20/2010
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