DR. MAZIN ISMAIL ABDULLAH (NPI# 1831241629) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831241629 |
| Entity Type | Individual |
| Full Name | DR. MAZIN ISMAIL ABDULLAH |
| Credential | M.D |
| Practice Address |
49 Lawrence Ave Potsdam NY 13676 |
| Mailing Address |
50 Leroy St Potsdam NY 13676-1799 |
| Practice Telephone | 3152652153 |
| Practice Fax Number | 3152652540 |
| Mailing Telephone | 3152653300 |
| Mailing Fax Number | 3152616025 |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2018-05-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | A97415 | CA | Other Service Providers |
| Y | 207V00000X | Obstetrics & Gynecology | 233601 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
49 LAWRENCE AVE |
| City | POTSDAM |
| State | NY |
| Zip Code | 13676 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295710358 | John Sparrow Duffy | Family Medicine | 49 Lawrence Ave, Potsdam, NY 13676 | 2005-12-13 |
| 1073159083 | Caitlyn Maskell | Physical Therapist | 49 Lawrence Ave, Potsdam, NY 13676-1889 | 2019-11-25 |
| 1982103354 | Sarah Elizabeth Collins | Speech-Language Pathologist | 49 Lawrence Ave, Potsdam, NY 13676-1889 | 2018-02-12 |
| 1093230229 | Rebecca Ann Martin | Physical Therapist | 49 Lawrence Ave, Potsdam, NY 13676-1889 | 2017-08-09 |
| 1225579626 | Sonja J Kocan | Nurse Practitioner | 49 Lawrence Ave, Potsdam, NY 13676-1889 | 2017-03-17 |
| 1366891632 | Mallory Sprague | Family Medicine | 49 Lawrence Ave, Potsdam, NY 13676-1889 | 2016-06-08 |
| 1619342243 | Amanda Ross | Nurse Practitioner | 49 Lawrence Ave, Potsdam, NY 13676-1889 | 2015-12-08 |
| 1073994968 | Ashley Grimshaw | Family Medicine | 49 Lawrence Ave, Potsdam, NY 13676 | 2015-06-16 |
| 1669870259 | Martha Pickard Palmer | Nutritionist | 49 Lawrence Ave, Potsdam, NY 13676-1889 | 2014-12-12 |
| 1184054371 | Amy B Mangual | Registered Nurse | 49 Lawrence Ave, Potsdam, NY 13676-1889 | 2013-11-25 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477170702 | Lucille D'agostino | Nurse Practitioner | 6805 State Highway 11, Potsdam, NY 13676 | 2020-07-02 |
| 1942851969 | Carrie E Sullivan | Counselor | 6956 Ny-56, Potsdam, NY 13676 | 2019-09-20 |
| 1508425786 | David M. Hurlbut Dds Pllc | Dentist | 145 1/2 Market Street, Suite A, Potsdam, NY 13676 | 2019-06-11 |
| 1609358902 | Sara Anne O'brian Polniak | Counselor | 20 Cottage Street, Potsdam, NY 13676 | 2018-09-04 |
| 1215451067 | Sunday Wright Smith | Advanced Practice Midwife | 34 Lawrence Avenue, Potsdam, NY 13676 | 2017-08-02 |
| 1992239891 | Michael Paul Wendell | Nurse Anesthetist, Certified Registered | Canton-potsdam Hospital, 50 Leroy Street, Potsdam, NY 13676 | 2017-04-18 |
| 1023561495 | Rocky Mountain Holdings, LLC | Ambulance | 150 Hatch Rd, Potsdam, NY 13676 | 2016-08-02 |
| 1942658398 | Samantha Lucas | Physician Assistant | 49 Lawrence, Urgent Care, Potsdam, NY 13676 | 2016-05-26 |
| 1205237880 | State Hearing and Audiology, PC | Audiologist-Hearing Aid Fitter | 6604 State Route 56, Potsdam, NY 13676 | 2014-09-15 |
| 1649607888 | Talia Elizabeth Foster | Acupuncturist | 22 Depot St. Suite 13, Potsdam, NY 13676 | 2013-10-02 |
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| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114164696 | Tatiana Dicoby | Obstetrics & Gynecology | 49 Lawrence Ave, Potsdam, NY 13676-1889 | 2009-01-20 |
| 1457451601 | Womens Room Obgyn Pllc | Obstetrics & Gynecology | 190 Outer Main St, Natco Building, Potsdam, NY 13676-2324 | 2006-09-25 |
| 1841239977 | James P Lyons | Obstetrics & Gynecology | 190 Outer Main St, Natco Bldg, Potsdam, NY 13676-2324 | 2006-06-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124627799 | Kb Medical Practice PC | Obstetrics & Gynecology | 120 5th Ave Fl 5, New York, NY 10011-5638 | 2020-10-23 |
| 1780298281 | Tse Medical Pllc | Obstetrics & Gynecology | 846 55th Street, 1fl, Brooklyn, NY 11220-1122 | 2020-09-02 |
| 1285251108 | Khatri Medical Suites PC | Obstetrics & Gynecology | 466 Willis Avenue, Suite 366, Williston Park, NY 11596 | 2020-06-26 |
| 1891317582 | Lenox Obgyn, LLC | Obstetrics & Gynecology | 175 E 62nd St Ste 1a, New York, NY 10065-7626 | 2020-05-15 |
| 1750915062 | Radoslav Jovanovic, Md and Kevin Jovanovic, Md | Obstetrics & Gynecology | 930 Fifth Avenue, Suite 3, New York, NY 10021 | 2020-02-25 |
| 1508406901 | Jing Qiao Ob/gyn P.C. | Obstetrics & Gynecology | 4265 Kissena Blvd Unit L3, Flushing, NY 11355-3273 | 2020-01-14 |
| 1811531270 | Comprehensive Perinatal Medicine Pllc | Obstetrics & Gynecology | 13336 41st Rd # 2a, Flushing, NY 11355-3666 | 2019-10-29 |
| 1275176869 | Trustcare Women's Health Ob/gyn PC | Obstetrics & Gynecology | 730 58th St Bsmt, Brooklyn, NY 11220-3917 | 2019-10-25 |
| 1194379644 | Giovanna Fiorella Ramirez Barbieri | Obstetrics & Gynecology | 374 Stockholm St, Brooklyn, Ny 11237, Brooklyn, NY 11237 | 2019-08-01 |
| 1427610021 | K & K Broadway Inc. | Obstetrics & Gynecology | 111 Broadway Rm 1405, New York, NY 10006-3903 | 2019-07-03 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.