National Provider Identifier

Juan D Mazariegos, MD

Juan D Mazariegos, MD is listed in the NPPES registry with a primary specialty of Specialist in Buffalo, NY and a listed phone number of (716) 826-7000.

NPI 1629036454Buffalo, NYSpecialist

Profile Overview

NPI
1629036454
Provider Type
Individual
Primary Specialty
Specialist
Enumeration Date
May 02, 2006
Last Updated
July 08, 2007

Practice Location

  • 565 Abbott RD
  • Buffalo, NY 14220-2039

Phone: (716) 826-7000

Mailing Address

  • PO Box 8000
  • Dept. 173
  • Buffalo, NY 14267-0002

Specialties

  • Specialist (174400000X)
Full Record
NPI
1629036454
Entity Type
Individual
Last Name
Mazariegos
First Name
Juan
Middle Name
D
Credential
MD
Mailing Street Address
PO Box 8000
Mailing Address Line 2
Dept. 173
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14267-0002
Mailing Country
US
Mailing Phone
(716) 692-3302
Mailing Fax
(716) 692-4342
Practice Street Address
565 Abbott RD
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14220-2039
Practice Country
US
Practice Phone
(716) 826-7000
Practice Fax
(716) 692-4342
Enumeration Date
May 02, 2006
Last Updated
July 08, 2007
Sex
Male
Sole Proprietor
X
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Specialist (174400000X)