Individual
MAZEN H MARIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 CHIMNEY POINT DR, OGDENSBURG, NY 13669-2291
(315) 541-2117
(315) 541-2164
Mailing address
1 CHIMNEY POINT DR, OGDENSBURG, NY 13669-2291
(315) 541-2117
(315) 541-2164
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
217038
NY
2084P0800X
Psychiatry Physician
217038
NY
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
217038
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02144618
—
NY
Enumeration date
06/21/2006
Last updated
05/10/2023
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