Edward J Mazdzer
Neurologist
2249 State Route 86 Ste 1
Saranac Lake
, New York 12983-5644
Edward J Mazdzer
Neurologist
2249 State Route 86 Ste 1
Saranac Lake
, New York 12983-5644
(518) 314-3468
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About
Features
Specialties
- Neurologist
Languages spoken
- English
Location
First Address
- Edward J Mazdzer
- 206 Cornelia St Ste 102
- Plattsburgh, NY
- Zip : 12901-2779
- Fax : (518) 314-3468
- Phone : (518) 314-3344
Second Address
- Edward J Mazdzer
- 2249 State Route 86 Ste 1
- Saranac Lake, NY
- Zip : 12983-5644
- Fax : (518) 891-6302
- Phone : (518) 891-9795
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Is Edward J Mazdzer accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2084N0400X | Neurologist | 189159 | NY |
| N | 2084N0400X | Neurologist | 48539 | MA |
| N | 2084N0400X | Neurologist | 9628 | VT |
National Provider Identifier
| NPI | 1043242431 |
|---|---|
| Provider Name | Edward J Mazdzer |
| First Address | Plattsburgh, NY 12901-2779 |
| Second Address | Saranac Lake, NY 12983-5644 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/07/2006 |
| Last Update Date | 18/08/2016 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 01013703 | (05) | NY |
| A68271 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.