Beshara, Mazen
Beshara, Mazen is an individual health care provider with primary practice located at 1000 E Genesee St Suite 300, Syracuse NY 13210-1892. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Nuclear Cardiology. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Beshara, Mazen can be contacted via phone (315) 471-1044.Contact Information
Primary practice address
1000 E Genesee St Suite 300
Syracuse NY 13210-1892
Phone: (315) 471-1044
Fax: (315) 474-4312
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 215741 | New York |
| Allopathic & Osteopathic Physicians / Nuclear Cardiology | 207UN0901X | 215741 | New York |
Profile Details
| NPI number | 1912993692 |
|---|---|
| LBN Legal business name | Beshara, Mazen |
| Credentials | MD FACC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 27th, 2005 |
| Last updated | Apr 15th, 2010 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1912993692 | NPPES |
| New York | MEDICAID | 02057147 |
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