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Individual

DR. AHMED ENAITALLA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
235 E 20TH ST, NEW YORK, NY 10003-1801
(718) 312-5353
Mailing address
235 E 20TH ST FL 7, NEW YORK, NY 10003-1801
(347) 674-8683

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
101YP2500X
Professional Counselor
103TC0700X
Clinical Psychologist
Primary
024961
NY
103TF0200X
Forensic Psychologist

Other

Enumeration date
10/07/2022
Last updated
10/14/2022
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