Search › New York › 207QA0401X
Mario Douyon De Azevedo, M.D
NPI 1356562805 · on the registry since 2007 · sole proprietor
Practice
- Address
- 3878 State Route 11
Suite 2
Malone, NY 12953 - Phone
- (518) 483-6566
Registry record
- Primary taxonomy
- 207QA0401X
207QA0401X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York