Individual
SORAYA A WALLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
44 COURT ST STE 314, BROOKLYN, NY 11201-4419
(718) 855-5600
Mailing address
44 COURT ST STE 314, BROOKLYN, NY 11201-4419
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
005678
NY
Other
Enumeration date
01/20/2026
Last updated
01/20/2026
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