National Provider Identifier
Mark D Chazen, M.D.
Mark D Chazen, M.D. is listed in the NPPES registry with a primary specialty of Urology Physician in Cheektowaga, NY and a listed phone number of (716) 844-5000.
Profile Overview
- NPI
- 1518931989
- Provider Type
- Individual
- Primary Specialty
- Urology Physician
- Enumeration Date
- February 14, 2006
- Last Updated
- March 01, 2011
Practice Location
- 3085 Harlem Road
- Suite 200
- Cheektowaga, NY 14225-2591
Phone: (716) 844-5000
Specialties
- Urology Physician (208800000X)
- Urology Physician (208800000X)
Full Record
- NPI
- 1518931989
- Entity Type
- Individual
- Last Name
- Chazen
- First Name
- Mark
- Middle Name
- D
- Name Prefix
- Mr.
- Credential
- M.D.
- Mailing Street Address
- 3085 Harlem Road
- Mailing Address Line 2
- Suite 200
- Mailing City
- Cheektowaga
- Mailing State
- NY
- Mailing ZIP Code
- 14225-2591
- Mailing Country
- US
- Mailing Phone
- (716) 844-5000
- Mailing Fax
- (716) 844-5050
- Practice Street Address
- 3085 Harlem Road
- Practice Address Line 2
- Suite 200
- Practice City
- Cheektowaga
- Practice State
- NY
- Practice ZIP Code
- 14225-2591
- Practice Country
- US
- Practice Phone
- (716) 844-5000
- Practice Fax
- (716) 844-5050
- Enumeration Date
- February 14, 2006
- Last Updated
- March 01, 2011
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Urology Physician (208800000X), Urology Physician (208800000X)
- Other Identifiers
- 005247231 (NY, Blue Cross), 01739899 (NY), 160985156 (Uhc-Empire), 1908966 (NM, Independent Health Ins), 340013524 (NY, Railroad Medicare), 00010297801 (NY, Univera Insurance), 1099639 (NY, Ghi)