Mazzei -Klokiw, Renata N
Mazzei -Klokiw, Renata N is an individual health care provider with primary practice located at 103 Sitterly Road Suite 2300, Clifton Park NY 12065-1026. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Mazzei -Klokiw, Renata N can be contacted via phone (518) 579-2650.Contact Information
Primary practice address
103 Sitterly Road Suite 2300
Clifton Park NY 12065-1026
Phone: (518) 579-2650
Fax: (518) 579-2670
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 229963 | New York |
Profile Details
NPI number | 1073583738 |
---|---|
LBN Legal business name | Mazzei -Klokiw, Renata N |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 25th, 2006 |
Last updated | Apr 5th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1073583738 | NPPES |
New York | Other | 000000084125 | GHI-HMO |
New York | Other | 11316316 | GHI-HMO |
New York | Other | 9744189 | GHI-HMO |
New York | Other | 000404963001 | GHI-HMO |
New York | Other | 040426006874 | GHI-HMO |
New York | Other | 10076504 | GHI-HMO |
New York | Other | 7843670 | GHI-HMO |
New York | Other | 400762 | GHI-HMO |
New York | Other | 4282N1 | GHI-HMO |
New York | MEDICAID | 02600448 | GHI-HMO |
New York | Other | P00196354 | GHI-HMO |
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