Individual
DR. MARIO DOUYON DE AZEVEDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3878 STATE ROUTE 11, SUITE 2, MALONE, NY 12953-3726
(518) 483-6566
Mailing address
3878 STATE ROUTE 11, SUITE 2, MALONE, NY 12953-3726
(518) 483-6566
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
223962-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01943719
—
NY
Enumeration date
05/01/2007
Last updated
07/08/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us