SHAZIA I BASIR QUDDUSI

REGO PARK, NY
NPI1417219692
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy252Y00000X Early Intervention Provider Agency
Enumeration Date2012-06-13
Last Update Date2012-06-13
Business Address
Mrs. SHAZIA I BASIR QUDDUSI
9777 QUEENS BLVD PH
REGO PARK, NY 11374-3335
Phone number: 718-218-5439
Mailing Address
Mrs. SHAZIA I BASIR QUDDUSI
15 PRIMROSE AVE
HICKSVILLE, NY 11801-1617
Phone number: 718-218-5439