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Individual

AMALIA PER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
275 W MERRICK RD, FREEPORT, NY 11520-3346
(718) 362-1403
(718) 362-1651
Mailing address
34 HEMPSTEAD AVE, HEMPSTEAD, NY 11550-4734
(917) 306-6054
(718) 414-1651

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
401227
NY
363LA2200X
Adult Health Nurse Practitioner
Primary
F306691
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
401227
NY

Other

Enumeration date
10/05/2009
Last updated
08/28/2024
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