MARTA WLAZLO
NPI 1568008506
Counselor - Mental Health in Middle Village, NY
Active since November 25, 2019
About Marta Wlazlo NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARTA WLAZLO (NPI 1568008506) is an individual mental health provider in Middle Village, New York and active in the NPI registry since November 2019.
NPPES Registry Identity
NPI1568008506
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMARTA WLAZLO
Location Address6317B METROPOLITAN AVEMiddle Village, NY 11379-1606
Mailing Address5841 79th StMiddle Village, NY 11379-5311 · (646) 474-3074
Phone(646) 818-9980
Sole ProprietorYes
Enumeration DateNovember 25, 2019
✔ NPI 1568008506 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
6317B METROPOLITAN AVE, Middle Village, NY 11379
Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1568008506, enumerated as an "individual" on November 25, 2019.
The provider is located at 6317B METROPOLITAN AVE MIDDLE VILLAGE, NY 11379 and the phone number is (646) 818-9980.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.