Individual
ANGELA MAMELKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRC
Contact information
Practice address
435 E 119TH ST, NEW YORK, NY 10035-3627
(212) 360-4002
(212) 360-4012
Mailing address
435 E 119TH ST, NEW YORK, NY 10035-3627
(212) 360-4002
(212) 360-4012
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
00118120
—
Other
Enumeration date
02/18/2016
Last updated
02/18/2016
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