Individual
ERVIN MAZNIKU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5850 78TH ST, MIDDLE VILLAGE, NY 11379-5306
(347) 506-7015
Mailing address
5850 78TH ST, MIDDLE VILLAGE, NY 11379-5306
(347) 506-7015
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
03/25/2019
Last updated
03/25/2019
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