Individual
MRS. JOANNA EIVAZI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.SED
Contact information
Practice address
300 GARDEN CITY PLZ, SUITE 350, GARDEN CITY, NY 11530-3302
(516) 747-1833
Mailing address
3812 DIANNE ST, BETHPAGE, NY 11714-5405
(516) 749-2190
(516) 336-5589
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
701381
NY
Other
Enumeration date
12/29/2011
Last updated
12/29/2011
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