IndividualActive
Antonia Mazaraki
NPI 1811147051 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Astoria, NY
Provider details
- NPI number
- 1811147051
- Entity type
- Individual
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Sex
- Female
- Sole proprietor
- Yes
- License
- 015049 (NY)
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000XLicense 015049 (NY)
Residential Treatment Facilities
Profile Score
Detailed profile(86/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2328 36th St
Astoria, NY 11105-2213
Phone: (646) 662-6583
Street-level locationGet directions
Mailing address
2328 36th St
Astoria, NY 11105-2213
Registry dates
- Enumerated
- 2008-09-24
- Last updated
- 2008-09-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.