Individual
MS. MARY G. VERZYL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
125 SAINT NICHOLAS AVE, BROOKLYN, NY 11237-4035
(718) 456-4327
Mailing address
6969 180TH ST, FRESH MEADOWS, NY 11365-3529
(718) 380-6704
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
000 711 1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000711 1
AUDIOLOGY LICENSE
NY
Enumeration date
02/28/2007
Last updated
07/08/2007
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