Individual
KATELYN O'NEILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3300 NORTHERN BLVD, LONG ISLAND CITY, NY 11101-2221
(646) 634-1548
Mailing address
596 WILSON AVE, APT 3R, BROOKLYN, NY 11207-1265
(646) 634-1548
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
09/09/2015
Last updated
09/07/2023
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