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
Fax: (518) 579-2670
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
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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