Individual
MS. SAMILA MAMTSIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1651 CONEY ISLAND AVENUE, 2ND FLOOR, BROOKLYN, NY 11230
(646) 663-9557
Mailing address
1651 CONEY ISLAND AVE, 2 ND FLOOR, BROOKLYN, NY 11230-5849
(646) 663-9557
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
824842141
NY
Other
Enumeration date
07/09/2015
Last updated
07/09/2015
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