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DR. MARIO DOUYON DE AZEVEDO M.D.
NPI 1356562805
Family Medicine - Addiction Medicine in Malone, NY

Active since May 01, 2007
3878 STATE ROUTE 11, SUITE 2, MALONE, NY 12953(518) 483-6566 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Mario Douyon De Azevedo M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MARIO DOUYON DE AZEVEDO M.D. (NPI 1356562805) is an individual addiction medicine provider in Malone, New York, licensed in New York (223962-1) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1356562805
Entity TypeIndividualMale
Primary Taxonomy207QA0401X
Provider Legal NameDR. MARIO DOUYON DE AZEVEDOCredential: M.D.
Location Address3878 STATE ROUTE 11, SUITE 2Malone, NY 12953-3726
Mailing Address3878 State Route 11, Suite 2Malone, NY 12953-3726 · (518) 483-6566
Phone(518) 483-6566
Sole ProprietorYes
Enumeration DateMay 1, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1356562805 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0401X
License✔ Licensed in NY · 223962-1
Definition
A family medicine physician who specializes in the diagnosis and treatment of addictions.
3878 STATE ROUTE 11, Malone, NY 12953
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Other Identifiers 2

Medicaid01943719NY
Medicare UPING90729NY

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mario Douyon De Azevedo's NPI number?

The NPI number for Mario Douyon De Azevedo is 1356562805. It was assigned to this individual provider in the NPPES registry on May 1, 2007.

Where is Mario Douyon De Azevedo located?

Mario Douyon De Azevedo practices at 3878 State Route 11 Suite 2, Malone, NY 12953. The listed phone number is (518) 483-6566.

What is Mario Douyon De Azevedo's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Addiction Medicine, with taxonomy code 207QA0401X.

When was this NPI record last updated?

The NPPES record for Mario Douyon De Azevedo was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.