NIDIA MERCEDES BAZANTE

CORONA, NY
NPI1568007672
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy104100000X Social Worker
(Licence: NY  P103183)
Enumeration Date2019-11-12
Last Update Date2020-01-07
Business Address
NIDIA MERCEDES BAZANTE
3712 108TH ST
CORONA, NY 11368-2025
Phone number: 718-651-4000
Mailing Address
NIDIA MERCEDES BAZANTE
3712 108TH ST
CORONA, NY 11368-2025
Phone number: 516-547-6614