Individual
MRS. NYLA BABOOLAL-FONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 DUFFY AVE STE 510, HICKSVILLE, NY 11801-3636
(516) 881-5373
Mailing address
10041 200TH ST, HOLLIS, NY 11423-3330
(917) 608-5823
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
002305
NY
Other
Enumeration date
05/16/2023
Last updated
05/16/2023
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