MERCEDES BAZAN

STATEN ISLAND, NY
NPI1821732660
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy252Y00000X Early Intervention Provider Agency
Enumeration Date2022-04-27
Last Update Date2022-04-27
Business Address
MERCEDES BAZAN
669 CASTLETON AVE
STATEN ISLAND, NY 10301-2028
Phone number: 718-354-5502
Mailing Address
MERCEDES BAZAN
669 CASTLETON AVE
STATEN ISLAND, NY 10301-2028
Phone number: 718-354-5502
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