| Dr Mazin Ismail Abdullah, MD | |
|
49 Lawrence Ave, Potsdam, NY 13676 | |
| (315) 265-2153 | |
| (315) 265-2540 |
| Full Name | Dr Mazin Ismail Abdullah |
|---|---|
| Gender | Male |
| Speciality | Obstetrics & Gynecology |
| Location | 49 Lawrence Ave, Potsdam, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831241629 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 233601 (New York) | Primary |
| 174400000X | Specialist | A97415 (California) | Secondary |
| Entity Name | Guthrie Medical Group Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134178635 PECOS PAC ID: 6002728656 Enrollment ID: O20031103000220 |
| Entity Name | Canton-potsdam Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568548782 PECOS PAC ID: 6204827280 Enrollment ID: O20040519000761 |
| Entity Name | Oneida Health Systems Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962408203 PECOS PAC ID: 5395794713 Enrollment ID: O20050112000964 |
| Entity Name | Obgyn Hospitalist Medical Services Of New York Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518285055 PECOS PAC ID: 9830379759 Enrollment ID: O20110210000282 |
| Entity Name | Oneida Medical Services Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174860761 PECOS PAC ID: 3274773197 Enrollment ID: O20130717000078 |
| Entity Name | Trustees Of Columbia University In The City Of New York |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508266347 PECOS PAC ID: 8527972546 Enrollment ID: O20151201002613 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mazin Ismail Abdullah, MD 50 Leroy St, Potsdam, NY 13676-1799 Ph: (315) 265-3300 | Dr Mazin Ismail Abdullah, MD 49 Lawrence Ave, Potsdam, NY 13676 Ph: (315) 265-2153 |
Dr. Tatiana Dicoby, D.O. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 49 Lawrence Ave, Potsdam, NY 13676 Phone: 315-261-5830 Fax: 315-261-5849 | |
James P Lyons, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 190 Outer Main St, Natco Bldg, Potsdam, NY 13676 Phone: 315-265-2153 Fax: 315-265-2540 | |
Dr. Eboni Christina January, M.D. Obstetrics & Gynecology Medicare: May Accept Medicare Assignments Practice Location: 50 Leroy St, Potsdam, NY 13676 Phone: 315-265-3300 Fax: 315-261-6410 |