Individual
AMORY KALALO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
214 WOOLLEY AVE, STATEN ISLAND, NY 10314-2648
(718) 448-0072
Mailing address
214 WOOLLEY AVE, STATEN ISLAND, NY 10314-2648
(718) 448-0072
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
014684
NY
225XP0200X
Pediatric Occupational Therapist
014684
NY
Other
Enumeration date
03/28/2007
Last updated
02/28/2017
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