Individual
MAZOL MUSHEYEVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14410 77TH AVE, FLUSHING, NY 11367-3130
(347) 551-2594
Mailing address
14410 77TH AVE, FLUSHING, NY 11367-3130
(347) 551-2594
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
02/02/2014
Last updated
02/02/2014
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