Most Relevant Information
Provider Data
| NPI Number: | 1003294091 |
| Provider Name: | MARIA NIDEA PAUL |
| Entity Type: | Individual |
| Taxonomy Code: | 252Y00000X |
| Specialty: | Early Intervention Provider Agency |
| License Number: | 008647-1 |
Most Important Dates
| Enumeration Date: | 05/11/2015 |
| Last Updated: | 05/11/2015 |
Provider Practice Location
20301 33RD AVE
BAYSIDE
NY
113611025
Practice Location Phone/Fax
| Phone: | 3478064173 |
| Fax: |
Provider Mailing Location
20301 33RD AVE
BAYSIDE
NY
113611025
Provider Mailing Phone/Fax
| Phone: | 3478064173 |
| Fax: |