Individual
DULCE MAZONI COSTA PEREIRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7009 62ND DR APT 2, MIDDLE VILLAGE, NY 11379-1208
(347) 293-3979
Mailing address
7009 62ND DR APT 2, MIDDLE VILLAGE, NY 11379-1208
(347) 293-3979
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
NY
Other
Enumeration date
02/26/2021
Last updated
02/26/2021
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