Tom Mazur is a Clinical in Buffalo, New York. Tom Mazur practices all healthcare services and medical treatments related to Clinical. The NPI Number for Tom Mazur is 1003804949. The last update date is 2007-07-08.
Tom Mazur's current location address is 219 Bryant St, Buffalo, New York. You can contact this provider via phone number 7168787093 and fax number 7168883827. The mailing address for Tom Mazur is 219 Bryant St, Buffalo, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tom Mazur |
|---|---|
| Address | 219 Bryant St, Buffalo, New York |
| Phone Number | 7168787093 |
| Fax Number | 7168883827 |
| Sole Proprietor | Y |
| Credentials | PSY.D. |
NPI Number Detail
| NPI Number | 1003804949 |
|---|---|
| Provider Enumeration Date | 2005-10-13 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 219 Bryant St |
|---|---|
| City | Buffalo |
| State | New York (NY) |
| Post Code | 142222006 |
| Phone Number | 7168787093 |
| Fax Number | 7168883827 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 7358 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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What is the unique 10-digit identifier code assigned to Tom Mazur by the Centers for Medicare & Medicaid Services?
The Tom Mazur has been issued the NPI (National Provider Identifier) 1003804949 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the Tom Mazur located?
The Tom Mazur is located at 219 Bryant St, Buffalo, NY 142222006.
What is the Tom Mazur's specialty and taxonomy code?
The Tom Mazur's specialty is Clinical, and the corresponding taxonomy code is 103Tc0700X.
On what date did the Tom Mazur receive its 1003804949 assignment from the Centers for Medicare & Medicaid Services?
The Tom Mazur was assigned its 1003804949 by the Centers for Medicare & Medicaid Services on 2005-10-13.
As of what date were the details related to Tom Mazur most recently updated or revised?
The information pertaining to Tom Mazur, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.