Individual
DR. MAZIN A DHAFIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4085 SENECA ST, STE 3, WEST SENECA, NY 14224-3000
(716) 674-1180
(716) 674-2037
Mailing address
4085 SENECA ST, STE 3, WEST SENECA, NY 14224-3000
(716) 674-1180
(716) 674-2037
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
154861-1
NY
207NP0225X
Pediatric Dermatology Physician
154861-1
NY
207NS0135X
Procedural Dermatology Physician
154861-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00010045001
UNIVERA
NY
01
—
000502109001
BLUE CROSS
NY
01
—
0301846
INDEPENDENT HEALTH
NY
01
—
070001676
MEDICARE TRAVELERS
NY
01
—
161271451
COMMERCIAL CLAIMS
NY
01
—
4464532
AETNA
NY
01
—
P11129370
MULTIPLAN
NY
Enumeration date
06/14/2005
Last updated
01/10/2013
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