Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MARIO DOUYON DE AZEVEDO, M.D.
Active Sole ProprietorDR. MARIO DOUYON DE AZEVEDO, M.D. is a Addiction Medicine (Family Practice) healthcare provider located in MALONE, New York. NPI 1356562805 is currently active in the NPPES registry. Verify at CMS.
Addiction Medicine (Family Practice) · MALONE, NY
Registration Details
- NPI Number
- 1356562805
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 1, 2007 (19.326191897654 yrs)
- Last Updated
- Jul 8, 2007
- License
-
223962-1 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3878 STATE ROUTE 11SUITE 2MALONE, NY, 129533726Browse NY providers · Browse ZIP 12953
- Phone
- 5184836566
- Primary Specialty
-
Addiction Medicine (Family Practice)
207QA0401X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.