Individual
CLARA MAZEPA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
528 DONGAN HILLS AVE, STATEN ISLAND, NY 10305-3337
(718) 668-2203
Mailing address
528 DONGAN HILLS AVE, STATEN ISLAND, NY 10305-3337
(718) 668-2203
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
012278
NY
Other
Enumeration date
04/20/2009
Last updated
04/20/2009
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