Mary Marie'S Mission

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

MARY MARIE'S MISSION

Practice address

1503 Atlantic Ave Apt 1
Brooklyn, NY 11213-1071

Phone

(678) 523-4437

NPI assigned

Jun 14, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Katrina Thomas, MS ED

Title

Special Education

Phone

(678) 523-4437

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1339632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339632000000",
    "number": "1417219429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1503 ATLANTIC AVE APT 1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112131071",
            "telephone_number": "678-523-4437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1503 ATLANTIC AVE APT 1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112131071",
            "telephone_number": "678-523-4437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY MARIE'S MISSION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-14",
        "last_updated": "2012-06-14",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "KATRINA",
        "authorized_official_title_or_position": "SPECIAL EDUCATION",
        "authorized_official_telephone_number": "678-523-4437",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MS ED"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marvin S Becker, M.D. P.C.
• Tanya Marwaha
• Tasnuva Marwan, O.D
• Ida Ann Marx, LCAT, ATR-BC
• Katherine Anna Marx, NP
• Mary NG-Tedjasukmana, LCSW, PLLC
• Mary Z Awad MD PC
• Neelam Maryam
• Natalie Maryanovsky - Zelenko, M.D.
• Victoria Maryansky, D.D.S

• Specialist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.