Individual
MS. JILL G. MAZUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
549 4TH ST, NIAGARA FALLS, NY 14301-1530
(716) 282-4130
(716) 282-4133
Mailing address
549 4TH ST, NIAGARA FALLS, NY 14301-1530
(716) 282-4130
(716) 282-4133
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
1064
NY
231HA2400X
Assistive Technology Practitioner Audiologist
15000000829
NY
231HA2500X
Assistive Technology Supplier Audiologist
Primary
14000002100
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00011183301
UNIVERA
NY
01
—
005760313
BLUE CROSS/SHIELD
NY
05
—
01112954
—
NY
01
—
060725000001
FIDELIS CARE
NY
01
—
9209410
INDEPENDENT HEALTH
NY
Enumeration date
09/20/2006
Last updated
06/05/2015
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