Organization
SABINA MAZUR, M.S., CCC-SLP, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SABINA MAZUR M.S., CCC-SLP (PRESIDENT)
(646) 509-0478
Entity
Organization
Contact information
Practice address
66 WILLOW LN, STATEN ISLAND, NY 10306-6172
(646) 509-0478
Mailing address
66 WILLOW LN, STATEN ISLAND, NY 10306-6172
(646) 509-0478
Taxonomy
Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
Primary
024161-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04255276
—
NY
Enumeration date
07/11/2017
Last updated
07/21/2022
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