Clara Mazepa Slp,p.c.
Early Intervention Provider Agency in Staten Island, New York
1063924058- Practice location
- 236 Natick St, Staten Island, NY 10306-1626
- Phone
- 917-566-5757
- Fax
- —
- Last updated
- October 30, 2017
Clara Mazepa Slp,p.c. is a healthcare organization based in Staten Island, NY. Clara Mazepa Slp,p.c. practices in Staten Island, NY. The NPI Number for Clara Mazepa Slp,p.c. is 1063924058 and holds a License No. 012278 (NY). The current practice location address for Clara Mazepa Slp,p.c. is 236 Natick St, Staten Island, NY 10306-1626 and can be reached out via phone at 917-566-5757.
Provider Profile Details
- NPI Number
- 1063924058
- Provider Name
- Clara Mazepa Slp,p.c.
- Provider Entity Type
- Organization
- Address
- 236 Natick St, Staten Island, NY 10306-1626
- Phone Number
- 917-566-5757
- Primary Taxonomy
- Early Intervention Provider Agency · 252Y00000X
- Organization Subpart
- No
- Authorized Official
- Clara Mazepa, MA, CCC-SLP, TSHH · President · 917-566-5757
- Provider Enumeration Date
- October 30, 2017
- Last Update Date
- October 30, 2017
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 236 Natick St
Staten Island, NY 10306-1626 - City
- Staten Island
- State
- New York
- Zip
- 10306-1626
- Phone Number
- 917-566-5757
Provider Business Mailing Address Details
- Address
- 236 Natick St
Staten Island, NY 10306 - City
- Staten Island
- State
- NY
- Zip
- 10306
- Phone Number
- 917-566-5757
License Information
- License Number
- 012278
- License State
- NY
- Taxonomy
- Early Intervention Provider Agency · 252Y00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Clara Mazepa Slp,p.c.?
The NPI number of Clara Mazepa Slp,p.c. is 1063924058. It was assigned on October 30, 2017 and is currently active in the NPPES registry.
What is the specialty of Clara Mazepa Slp,p.c.?
Clara Mazepa Slp,p.c. is registered under the primary taxonomy Early Intervention Provider Agency (code 252Y00000X), licensed in NY under license number 012278.
Where does Clara Mazepa Slp,p.c. practice?
The practice location is 236 Natick St, Staten Island, NY 10306-1626. The office can be reached at 917-566-5757 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1063924058 directly on the NPPES registry website.