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Contact Information

BANZI L BAZAZ, MD
3 LYON PLACE
STE. 102
OGDENSBURG, NY13669
 Phone: 315-394-6473
 Fax: 315-394-8810
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for BANZI L BAZAZ · (Male)

NPI Number 1780681056
Status Active
Credentials MD
Entity Individual
Enumeration date 07/01/2005
Last updated 08/05/2010 - About 16 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 108852
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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