# YOGATASTIC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** amaliapsych
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629898432
- **Authorized official:** AMALIA PER (NPP)
- **Authorized official phone:** (191) 730-6605

## Contact information

- **Practice address:** 34 HEMPSTEAD AVE, HEMPSTEAD, NY 11550-4734
- **Practice address phone:** (917) 306-6054
- **Mailing address:** 106 PARK BLVD, MALVERNE, NY 11565-1717
- **Mailing address phone:** (191) 730-6605

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 10/15/2024
- **Last updated:** 10/15/2024