MEDICARE: EZED 7 INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	252Y00000X	Early Intervention Provider Agency

General Provider Information

NPI Number	:	1326891789
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EZED 7 INC

Provider Business Mailing Address
First Line	:	2436 E 24TH ST FL 2
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11235-2513
Country	:	US
Telephone Number	:	347-371-0004
Fax Number	:

Provider Business Practice Location Address
First Line	:	2436 E 24TH ST FL 2
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11235-2513
Country	:	US
Telephone Number	:	347-371-0004
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	NATALYA MASLOVA
Credential	:	MSED
Telephone Number	:	347-371-0004

Provider Enumeration Date	:	04/08/2024
Last Update Date	:	04/08/2024

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Directions to “EZED 7 INC ” Practice Location

Language	Start Address	Practice Location

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