Organization
COMMACK COMPREHENSIVE PEDIATRICS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRITTA KAREEN MAZUR DO (PEDIATRICIAN)
(631) 499-3588
Entity
Organization
Contact information
Practice address
283 COMMACK RD, SUITE 325, COMMACK, NY 11725-6021
(631) 499-3588
(631) 499-3583
Mailing address
2171 JERICHO TPKE, SUITE 342, COMMACK, NY 11725-2937
(631) 499-3588
(631) 499-3583
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
188094
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01600215
—
NY
Enumeration date
05/31/2006
Last updated
09/14/2009
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