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Dr. Mario Douyon De Azevedo, MD
Addiction Medicine (Family Medicine) Physician in Malone, New York
NPI 1356562805

Mario Douyon De Azevedo is an Addiction Medicine (Family Medicine) Physician based in Malone, NY and is specialized in Addiction Medicine. Mario Douyon De Azevedo practices in Malone, NY and has the professional credentials of MD. The NPI Number for Mario Douyon De Azevedo is 1356562805 and holds a License No. 223962-1 (New York).

The current practice location address for Mario Douyon De Azevedo is 3878 State Route 11, Malone, NY and can be reached out via phone at 518-483-6566.

Location: 3878 State Route 11, Malone, NY, 12953-3726
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1356562805
Provider Name
Mario Douyon De Azevedo
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
3878 State Route 11, Malone, NY, 12953-3726
Phone Number
518-483-6566
Fax Number
Provider Enumeration Date
05/01/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
01943719 05 NY
institution
Provider Business Practice Location Address Details
Address
3878 State Route 11
City
Malone
State
New York
Zip
12953-3726
Phone Number
518-483-6566
Fax Number
person
Provider Business Mailing Address Details
Address
3878 State Route 11
City
Malone
State
New York
Zip
12953-3726
Phone Number
518-483-6566
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
Addiction Medicine
Taxonomy
207QA0401X
License No.
223962-1 (New York)
Definition
A family medicine physician who specializes in the diagnosis and treatment of addictions.
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