Individual provider · Type 1 NPI
Antonia Mazaraki
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Astoria, NY
Practice location
2328 36th St
Astoria, NY 11105-2213
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary | 320900000X | 015049 (NY) |
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
About NPI 1811147051
Antonia Mazaraki's National Provider Identifier is 1811147051, issued on Sep 24, 2008. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Astoria, NY. The record was last updated on Sep 24, 2008.