Individual provider · NPI-1

Dr. Mazen Saud R Alfozan, MD

Otolaryngology · New York, NY

NPI number1194601492
StatusActive
Last updated in NPPESNov 11, 2025

Details

NPI
1194601492
Entity type
Individual (NPI-1)
Name
Dr. Mazen Saud R Alfozan
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Aug 12, 2025
Certification date
Nov 11, 2025
Last updated
Nov 11, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Y00000X OtolaryngologyP136355NYYes
390200000X Student in an Organized Health Care Education/Training ProgramP136355NY

Practice location

550 1st Ave
New York, NY 10016-6402

Phone 212-263-5506

Mailing address

460 2nd Ave Apt 4e
New York, NY 10016-9100

Phone 646-520-9267

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