Individual
SHAIRA MAQSUDI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
111 S FRANKLIN AVE, LYNBROOK, NY 11563-3924
(516) 943-3140
Mailing address
111 S FRANKLIN AVE, LYNBROOK, NY 11563-3924
(516) 943-3140
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
07/15/2024
Last updated
07/15/2024
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