Provider Demographics
NPI:1225392467
Name:PARDO, MARIA E (MSED)
Entity Type:Individual
Prefix:MS
First Name:MARIA
Middle Name:E
Last Name:PARDO
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 1:155 E MOSHOLU PKWY N
Mailing Address - Street 2:APT. 3-C
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10467-3622
Mailing Address - Country:US
Mailing Address - Phone:347-346-5909
Mailing Address - Fax:
Practice Address - Street 1:155 E MOSHOLU PKWY N
Practice Address - Street 2:APT. 3-C
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10467-3622
Practice Address - Country:US
Practice Address - Phone:347-346-5909
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-03
Last Update Date:2012-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist