Organization
MAZARA EARLY IMPACT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SAMADHI MAZARA B.S.ED., M.SPED. (DIRECTOR)
(646) 220-4787
Entity
Organization
Contact information
Practice address
19217 37TH AVE, FLUSHING, NY 11358-2406
(646) 220-4787
Mailing address
19217 37TH AVE, FLUSHING, NY 11358-2406
(646) 220-4787
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
03/15/2025
Last updated
03/15/2025
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