Individual
MISS MERLYN JANNETT AMAYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2625 E 14TH ST STE 200, BROOKLYN, NY 11235-3973
(718) 769-2698
(718) 769-2317
Mailing address
2625 E 14TH ST, BROOKLYN, NY 11235-3979
(718) 769-2698
(718) 769-2317
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
251B00000X
—
NY
Enumeration date
10/18/2012
Last updated
10/18/2012
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