Individual
KONATA STALLINGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4140 27TH ST, LONG ISLAND CITY, NY 11101-3825
(718) 784-2240
Mailing address
4140 27TH ST, LONG ISLAND CITY, NY 11101-3825
(718) 784-2240
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
021895
NY
Other
Enumeration date
11/18/2016
Last updated
11/18/2016
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