Individual
MAGDA M MAZUERA I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2910 137TH ST, FLUSHING, NY 11354-2054
(929) 634-1436
Mailing address
29-10 137 STREET, FLUSHING, NY 11354
(929) 634-1436
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
—
NY
376J00000X
Homemaker
Primary
PAPAPROFESIONAL
NY
376J00000X
Homemaker
PARAPROFESIONAL
NY
Other
Enumeration date
03/13/2025
Last updated
03/13/2025
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