- Practice location
- 505 Jefferson Blvd, Staten Island, NY 10312-2225
- Phone
- 718-966-1738
- Fax
- —
- Last updated
- July 19, 2011
Mazurov Medical PC is a healthcare organization based in Staten Island, NY. Mazurov Medical PC practices in Staten Island, NY. The NPI Number for Mazurov Medical PC is 1003104456 and holds a License No. 210722-1 (NY). The current practice location address for Mazurov Medical PC is 505 Jefferson Blvd, Staten Island, NY 10312-2225 and can be reached out via phone at 718-966-1738.
Provider Profile Details
- NPI Number
- 1003104456
- Provider Name
- Mazurov Medical PC
- Provider Entity Type
- Organization
- Address
- 505 Jefferson Blvd, Staten Island, NY 10312-2225
- Phone Number
- 718-966-1738
- Primary Taxonomy
- Specialist · 174400000X
- Organization Subpart
- No
- Authorized Official
- Dr. Boris Mazurov, MD · Owner · 718-966-1738
- Provider Enumeration Date
- July 19, 2011
- Last Update Date
- July 19, 2011
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 505 Jefferson Blvd
Staten Island, NY 10312-2225 - City
- Staten Island
- State
- New York
- Zip
- 10312-2225
- Phone Number
- 718-966-1738
Provider Business Mailing Address Details
- Address
- 505 Jefferson Blvd
Staten Island, NY 10312-2225 - City
- Staten Island
- State
- NY
- Zip
- 10312-2225
License Information
- License Number
- 210722-1
- License State
- NY
- Taxonomy
- Specialist · 174400000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Specialists near Staten Island, NY
View all Specialists in Staten Island →Frequently Asked Questions
What is the NPI number of Mazurov Medical PC?
The NPI number of Mazurov Medical PC is 1003104456. It was assigned on July 19, 2011 and is currently active in the NPPES registry.
What is the specialty of Mazurov Medical PC?
Mazurov Medical PC is registered under the primary taxonomy Specialist (code 174400000X), licensed in NY under license number 210722-1.
Where does Mazurov Medical PC practice?
The practice location is 505 Jefferson Blvd, Staten Island, NY 10312-2225. The office can be reached at 718-966-1738 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1003104456 directly on the NPPES registry website.