Zachariah, Mareena Susan

Zachariah, Mareena Susan is an individual health care provider with primary practice located at 462 Grider St , Buffalo NY 14215-3021. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Transplant Surgery, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Nephrology is her primary health care specialty. Zachariah, Mareena Susan can be contacted via phone (716) 898-4803.

Contact Information

Primary practice address
462 Grider St Buffalo NY 14215-3021
Phone: (716) 898-4803
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Transplant Surgery 204F00000X 49534 Wisconsin
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X MFC1621 Florida
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 4301114099 Michigan
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 251087 New York

Profile Details

NPI number 1629087192
LBN Legal business name Zachariah, Mareena Susan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 5th, 2006
Last updated Jan 14th, 2022 - about 3 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 1629087192 NPPES
New York MEDICAID 03053990
New York Other 2515398
New York MEDICAID 2798280000

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