Individual
NAVITA MOHAMED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9309 215TH PL, QUEENS VILLAGE, NY 11428-1711
(718) 406-5857
Mailing address
9309 215TH PL, QUEENS VILLAGE, NY 11428-1711
(718) 406-5857
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
1184488
NY
Other
Enumeration date
10/26/2015
Last updated
10/26/2015
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