Mazur-Kazan, Victoria

Mazur-Kazan, Victoria is an individual health care provider with primary practice located at 141 Broadway , Newburgh NY 12550. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Mazur-Kazan, Victoria can be contacted via phone (845) 568-5260.

Contact Information

Primary practice address
141 Broadway Newburgh NY 12550
Fax: (845) 568-5213
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 033383 New York
Behavioral Health & Social Service Providers / Clinical 1041C0700X 074339 New York

Profile Details

NPI number 1336205830
LBN Legal business name Mazur-Kazan, Victoria
Credentials LCSW-R
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 29th, 2006
Last updated Sep 30th, 2009 - about 15 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 1336205830 NPPES
New York MEDICAID 00542503

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