Mario Douyon De Azeve in Malone - Addiction Medicine
Mario Douyon De Azeve - NPI 1356562805
Mario Douyon De Azeve is a Addiction Medicine in Malone, New York. Mario Douyon De Azeve practices all healthcare services and medical treatments related to Addiction Medicine. The NPI Number for Mario Douyon De Azeve is 1356562805. The last update date is 2007-07-08.
Mario Douyon De Azeve's current location address is 3878 State Route 11, Malone, New York. You can contact this provider via phone number 5184836566. The mailing address for Mario Douyon De Azeve is 3878 State Route 11, Malone, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mario Douyon De Azeve |
|---|---|
| Address | 3878 State Route 11, Malone, New York |
| Phone Number | 5184836566 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1356562805 |
|---|---|
| Provider Enumeration Date | 2007-05-01 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3878 State Route 11 |
|---|---|
| City | Malone |
| State | New York (NY) |
| Post Code | 129533726 |
| Phone Number | 5184836566 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Addiction Medicine |
|---|---|
| Taxonomy | 207Qa0401X |
| Licence No | 223962-1 |
|
Definition: A family medicine physician who specializes in the diagnosis and treatment of addictions. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1943719 | NY | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Mario Douyon De Azeve by the Centers for Medicare & Medicaid Services?
The Mario Douyon De Azeve has been assigned the NPI (National Provider Identifier) 1356562805 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical location address where Mario Douyon De Azeve's facilities are situated?
The facilities of Mario Douyon De Azeve are physically located at the following address: 3878 State Route 11, Malone, NY, 129533726.
What is Mario Douyon De Azeve's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Mario Douyon De Azeve is Addiction Medicine, and the taxonomy code that classifies this field of practice is 207Qa0401X.
On what date did the Centers for Medicare & Medicaid Services issue the 1356562805 to Mario Douyon De Azeve?
The Mario Douyon De Azeve received its 1356562805 assignment from the Centers for Medicare & Medicaid Services on 2007-05-01.
As of what date were the details related to Mario Douyon De Azeve most recently updated or revised?
The information pertaining to Mario Douyon De Azeve, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.