Mazal M Matayev SLP PC

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

MAZAL M MATAYEV SLP PC

Practice address

7323 179TH St
Fresh Meadows, NY 11366-1603

Phone

(718) 208-7911

Fax

(917) 210-3200

NPI assigned

Oct 13, 2010

Organization subpart

No

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

Authorized official

Name

Mazal Matayev, MACCCSLP

Title

Officer

Phone

(718) 208-7911

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1286928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286928000000",
    "number": "1821308701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7323 179TH ST",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113661603",
            "telephone_number": "718-208-7911",
            "fax_number": "917-210-3200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7323 179TH ST",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113661603",
            "telephone_number": "718-208-7911",
            "fax_number": "917-210-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAZAL M MATAYEV SLP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-13",
        "last_updated": "2010-10-13",
        "status": "A",
        "authorized_official_last_name": "MATAYEV",
        "authorized_official_first_name": "MAZAL",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "718-208-7911",
        "authorized_official_credential": "MACCCSLP"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Seena Mathunney
• Mylene Matro, PT
• Antoinette Matye
• Manio Nicole Mavroukas
• Esther Max, FNP-BC
• Melissa Mazer, M.S ED
• Arlene Mazzella, P.A.
• Courtney Shannon McCall, OTR/L
• David McCalla, PA-C
• Kathleen Collins McCormick, M.S.

• Developmentally Disabled Services Day Training Agency in Fresh Meadows, NY
• Providers in Fresh Meadows, NY by specialty
• Developmentally Disabled Services Day Training Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2010; 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.