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
Fax: (315) 474-4312
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912993692 NPPES
New York MEDICAID 02057147

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