Individual
SHIRA MAZEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1 CLUB DR, APT. 1HR, WOODMERE, NY 11598-2054
(516) 398-8133
Mailing address
1 CLUB DR, APT. 1HR, WOODMERE, NY 11598-2054
(516) 398-8133
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
0185291
NY
Other
Enumeration date
04/07/2014
Last updated
04/07/2014
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