Mercedes Bazan
Mercedes Bazan is an Early Intervention Provider Agency in Staten Island, New York. Practices as a sole proprietor. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
669 Castleton AveStaten Island, NY 10301-2028
Phone: (718) 354-5502
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Specialties & licences
| Early Intervention Provider Agency (primary) | Taxonomy 252Y00000X |
|---|
Record details
| NPI number | 1821732660 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | April 27, 2022 |
| Last updated in NPPES | April 27, 2022 |
| Certification date | April 27, 2022 |
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