Organization
YOGATASTIC
Active
Other names
amaliapsych
Organization subpart
No
Provider details
NPI number
Authorized official
AMALIA PER (NPP)
(191) 730-6605
Entity
Organization
Contact information
Practice address
34 HEMPSTEAD AVE, HEMPSTEAD, NY 11550-4734
(917) 306-6054
Mailing address
106 PARK BLVD, MALVERNE, NY 11565-1717
(191) 730-6605
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/15/2024
Last updated
10/15/2024
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