Organization
AZA EVALUATIONS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AGNES ZORAIDA CANIZA MA CCC-SLP (PRESIDENT)
(917) 553-2798
Entity
Organization
Contact information
Practice address
3140B E TREMONT AVE, BRONX, NY 10461-5706
(718) 239-4147
Mailing address
18 SPRUCE ST, ORANGEBURG, NY 10962-1304
(917) 553-2798
(845) 613-7372
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
009802-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03667934
—
NY
Enumeration date
12/08/2014
Last updated
12/08/2014
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