Provider Demographics
NPI:1780860445
Name:KARNABY, MAZEN S (RPH)
Entity Type:Individual
Prefix:MR
First Name:MAZEN
Middle Name:S
Last Name:KARNABY
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7617 37TH AVE
Mailing Address - Street 2:
Mailing Address - City:JACKSON HEIGHTS
Mailing Address - State:NY
Mailing Address - Zip Code:11372-6633
Mailing Address - Country:US
Mailing Address - Phone:718-651-1400
Mailing Address - Fax:718-651-6897
Practice Address - Street 1:7617 37TH AVE
Practice Address - Street 2:
Practice Address - City:JACKSON HEIGHTS
Practice Address - State:NY
Practice Address - Zip Code:11372-6633
Practice Address - Country:US
Practice Address - Phone:718-651-1400
Practice Address - Fax:718-651-6897
Is Sole Proprietor?:No
Enumeration Date:2008-01-11
Last Update Date:2008-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY046839183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist