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Individual

CAROLINE AMZALLAG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
7000 AUSTIN ST STE 200, FOREST HILLS, NY 11375-4739
(718) 762-7633
Mailing address
687 DRIGGS AVE APT 3D, BROOKLYN, NY 11211-4004

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
004837
NY

Other

Enumeration date
04/23/2026
Last updated
04/23/2026
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