Individual
BRITTA KAREEN MAZUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
2171 JERICHO TPKE STE 342, COMMACK, NY 11725-2900
(631) 499-3588
(631) 499-3583
Mailing address
2171 JERICHO TPKE STE 342, COMMACK, NY 11725-2900
(631) 499-3588
(631) 499-3583
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
188094-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01600215
—
NY
Enumeration date
02/15/2010
Last updated
02/15/2010
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