Individual
JUSTIN DAVID MAZUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4802 10TH AVE, BROOKLYN, NY 11219-2916
(718) 283-6031
Mailing address
138 W HOUSTON ST, APT 3, NEW YORK, NY 10012-2560
(718) 928-5053
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
244263
NY
Other
Enumeration date
05/29/2007
Last updated
11/22/2011
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