Individual
ANGELA KAMISAKIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSED
Contact information
Practice address
535 8TH AVE, NEW YORK, NY 10018-4305
(212) 787-9700
Mailing address
1838 21ST RD, ASTORIA, NY 11105-3940
(347) 255-5301
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
06/13/2012
Last updated
06/13/2012
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