Individual
ALAN A MAZUREK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
99 JERICHO TPKE STE 206, JERICHO, NY 11753
(516) 338-2908
(516) 333-6160
Mailing address
99 JERICHO TPKE STE 206, JERICHO, NY 11753-1015
(516) 338-2908
(516) 333-6160
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
1498031
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00832408
—
NY
01
—
03547800540
ME NUMBER
—
Enumeration date
08/22/2006
Last updated
07/24/2018
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