MEDICARE: MZ THERAPEUTIC CONSULTANTS, 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	251C00000X	Developmentally Disabled Services Day Training Agency	27022XXXX-69004462	DC
2	252Y00000X	Early Intervention Provider Agency	27022XXXX-69004462	DC
3	235Z00000X	Speech-Language Pathologist

General Provider Information

NPI Number	:	1992025613
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MZ THERAPEUTIC CONSULTANTS, INC.

Provider Business Mailing Address
First Line	:	4500 NEW HAMPSHIRE AVE NW
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20011-4734
Country	:	US
Telephone Number	:	917-574-2755
Fax Number	:	202-248-7547

Provider Business Practice Location Address
First Line	:	4500 NEW HAMPSHIRE AVE NW
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20011-4734
Country	:	US
Telephone Number	:	917-574-2755
Fax Number	:	202-248-7547

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MIGUELINA ZAPATA
Credential	:
Telephone Number	:	202-681-0036

Provider Enumeration Date	:	06/03/2010
Last Update Date	:	06/23/2021

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Directions to “MZ THERAPEUTIC CONSULTANTS, INC. ” Practice Location

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