Individual
LETICIA CABA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11048 107TH ST, OZONE PARK, NY 11417-2617
(646) 570-2089
Mailing address
11048 107TH ST, OZONE PARK, NY 11417-2617
(646) 570-2089
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
06/19/2012
Last updated
10/11/2018
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