Individual
DR. PAULA MARIE MAZUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
219 BRYANT STREET, BUFFALO, NY 14222-2006
(716) 878-7109
(716) 888-3917
Mailing address
4511 HARLEM ROAD, SUITE 202, AMHERST, NY 14226-3822
(716) 839-6720
(716) 839-6740
Taxonomy
Speciality
Code
Description
License number
State
146D00000X
Personal Emergency Response Attendant
183343
NY
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
183345
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00010113401
UNIVERA
—
01
—
000510987001
BC/BS
—
05
—
0010946920003
—
PA
05
—
01201110
—
NY
01
—
040426001871
FIDELIS
—
01
—
3905808
IHA
—
Enumeration date
04/21/2006
Last updated
12/08/2009
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