Individual
MRS. BIANNA M MAZLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13802 76TH AVE, FLUSHING, NY 11367-2820
(646) 644-8436
Mailing address
13802 76TH AVE, FLUSHING, NY 11367-2820
(646) 644-8436
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
015510
NY
Other
Enumeration date
06/03/2009
Last updated
06/03/2009
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