Organization
MAZAL M MATAYEV SLP PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAZAL MATAYEV MACCCSLP (OFFICER)
(718) 208-7911
Entity
Organization
Contact information
Practice address
7323 179TH ST, FRESH MEADOWS, NY 11366-1603
(718) 208-7911
(917) 210-3200
Mailing address
7323 179TH ST, FRESH MEADOWS, NY 11366-1603
(718) 208-7911
(917) 210-3200
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
10/13/2010
Last updated
10/13/2010
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