Mazurov Medical PC
NPI #1003104456 in Staten Island, New York
Provider Information
- NPI Number
- 1003104456
- Entity Type
- Organization
- Organization Name
- Mazurov Medical PC
- Primary Specialty
- Specialist
- Enumeration Date
- Jul 19, 2011
- Last Updated
- Jul 19, 2011
Practice Location
- Address
- 505 JEFFERSON BLVD
- City
- Staten Island
- State
- New York
- ZIP Code
- 10312-2225
- Phone
- (718) 966-1738
Authorized Official
- Name
- DR. BORIS MAZUROV, MD
- Title
- OWNER
- Phone
- (718) 966-1738
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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