Individual
MRS. ELYMAR ENID KACIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
8115 164TH ST, JAMAICA, NY 11432-1118
(718) 380-3000
(718) 380-9475
Mailing address
18 JONES DR, GARNERVILLE, NY 10923-1708
(845) 429-5708
Taxonomy
Speciality
Code
Description
License number
State
103TM1800X
Intellectual & Developmental Disabilities Psychologist
Primary
—
—
Other
Enumeration date
03/22/2007
Last updated
07/08/2007
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