Mazurek, Alan A

Mazurek, Alan A is an sole proprietor health care provider with primary practice located at 99 Jericho Tpke Ste 206 , Jericho NY 11753. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Mazurek, Alan A can be contacted via phone (516) 338-2908.

Contact Information

Primary practice address
99 Jericho Tpke Ste 206 Jericho NY 11753
Phone: (516) 338-2908
Fax: (516) 333-6160
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 1498031 New York

Profile Details

NPI number 1619083763
LBN Legal business name Mazurek, Alan A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 22nd, 2006
Last updated Jul 24th, 2018 - about 6 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 1619083763 NPPES
Other 03547800540 ME NUMBER
MEDICAID 00832408 ME NUMBER

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