Dr MARA BAZDARIC RUSSELL is a female medical professional, specializing in Nurse Practitioner. She graduated in 2010.
ANJNI G BHAGAT PHYSICIAN P C
5 CLAY ST
MALONE
NY
129531905
Tel: 5184830705
| Npi | 1316245236 |
| Pac Id | 0446539571 |
| Professional Enrollment Id | I20161114001442 |
| Last Name | BAZDARIC RUSSELL |
| First Name | MARA |
| Middle Name | |
| Suffix | |
| Gender | F |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2010 |
| Primary Specialty | NURSE PRACTITIONER |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
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| All Secondary Specialties | |
| Organization Legal Name | ANJNI G BHAGAT PHYSICIAN P C |
| Group Practice Pac Id | 8325034010 |
| Number Of Group Practice Members | 3 |
| Line 1 Street Address | 5 CLAY ST |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | MALONE |
| State | NY |
| Zip Code | 129531905 |
| Phone Number | 5184830705 |
| Hospital Affiliation Ccn 1 | 330084 |
| Hospital Affiliation Lbn 1 | ALICE HYDE MEDICAL CENTER |
| Hospital Affiliation Ccn 2 | 330250 |
| Hospital Affiliation Lbn 2 | CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR |
| Hospital Affiliation Ccn 3 | |
| Hospital Affiliation Lbn 3 | |
| Hospital Affiliation Ccn 4 | |
| Hospital Affiliation Lbn 4 | |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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