Individual
MARY ANN VASATURO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9777 QUEENS BLVD PH, REGO PARK, NY 11374-3300
(808) 222-7900
Mailing address
9777 QUEENS BLVD PH, REGO PARK, NY 11374-3300
(808) 222-7900
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
174400000X
Specialist
—
—
Other
Enumeration date
09/08/2016
Last updated
09/08/2016
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