Basic Information
| Provider Information | |||||||||
| NPI: | 1538337381 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | MAZER | ||||||||
| FirstName: | GARY | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 336 E 86TH ST | ||||||||
| Address2: | |||||||||
| City: | NEW YORK | ||||||||
| State: | NY | ||||||||
| PostalCode: | 100284615 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2127723627 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 336 E 86TH ST | ||||||||
| Address2: | |||||||||
| City: | NEW YORK | ||||||||
| State: | NY | ||||||||
| PostalCode: | 100284615 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2127723627 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/14/2008 | ||||||||
| LastUpdateDate: | 01/24/2013 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207P00000X | 236270 | NY | Y | Allopathic & Osteopathic Physicians | Emergency Medicine |
No ID Information.