Individual
BEVERLY PAZUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
203 W 12TH ST, ROOM 625, NEW YORK, NY 10011-7762
(212) 604-8803
Mailing address
PO BOX 6217, CHURCH ST STATION, NEW YORK, NY 10249-6217
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
206132
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01737755
—
NY
Enumeration date
08/29/2006
Last updated
07/08/2007
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