Individual
DR. MAZEL MARTIN BAPTIST JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
244 LEGION ST, BROOKLYN, NY 11212-4043
(212) 690-2261
Mailing address
244 LEGION ST, BROOKLYN, NY 11212-4043
(718) 485-3810
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
N004629
NY
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
N004629
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01194623
—
NY
05
—
N004629
—
NY
Enumeration date
03/02/2007
Last updated
02/17/2020
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