Individual
MILDRED JANETTE AZRAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS SP.ED
Contact information
Practice address
138 COMMODORE DR, STATEN ISLAND, NY 10309-3983
(347) 838-1797
Mailing address
138 COMMODORE DR, STATEN ISLAND, NY 10309-3983
(347) 838-1797
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
NY
Other
Enumeration date
12/23/2009
Last updated
07/21/2022
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