Susan Mraz
NPI #1477194660 in Ronkonkoma, New York
Provider Information
- NPI Number
- 1477194660
- Entity Type
- Individual
- Name
- Susan Mraz
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Early Intervention Provider Agency
- Enumeration Date
- Sep 30, 2019
- Last Updated
- Sep 30, 2019
Practice Location
- Address
- 256 FIR GROVE RD
- City
- Ronkonkoma
- State
- New York
- ZIP Code
- 11779-4816
- Phone
- (631) 245-9316
Specialties & Taxonomy Codes
| Specialty |
|---|
| Early Intervention Provider Agency |
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