Individual
DR. ERZSEBET ANIKO MAZEPA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1900 RIDGE RD, STE 130, WEST SENECA, NY 14224-3332
(716) 675-0707
(716) 961-3706
Mailing address
1900 RIDGE RD, STE 130, WEST SENECA, NY 14224-3332
(716) 675-0707
(716) 961-3706
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
1590881
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00010113301
UNIVERA
—
01
—
000500880001
BCBS
—
01
—
0401536
IHA
—
Enumeration date
05/09/2006
Last updated
10/19/2012
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