Individual
KEZIAH KALLARAKAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
3811 BROADWAY FL 3, ASTORIA, NY 11103-4045
(718) 726-5953
(718) 204-5308
Mailing address
3811 BROADWAY FL 3, ASTORIA, NY 11103-4045
(718) 726-5953
(718) 204-5308
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
68 017125
NY
Other
Enumeration date
03/29/2010
Last updated
03/29/2010
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