Provider Demographics
NPI:1336402148
Name:SZABO, MARY ANN (MSED)
Entity type:Individual
Prefix:MISS
First Name:MARY
Middle Name:ANN
Last Name:SZABO
Suffix:
Gender:F
Credentials:MSED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7709 KEW FOREST LN
Mailing Address - Street 2:
Mailing Address - City:FOREST HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11375-7050
Mailing Address - Country:US
Mailing Address - Phone:917-929-4355
Mailing Address - Fax:
Practice Address - Street 1:7709 KEW FOREST LN
Practice Address - Street 2:
Practice Address - City:FOREST HILLS
Practice Address - State:NY
Practice Address - Zip Code:11375-7050
Practice Address - Country:US
Practice Address - Phone:917-929-4355
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-18
Last Update Date:2012-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist