Individual
ANNALICIA MASSIAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
500 LIVONIA AVE, BROOKLYN, NY 11207-5249
(929) 217-8906
Mailing address
500 LIVONIA AVE, BROOKLYN, NY 11207-5249
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/15/2021
Last updated
07/15/2021
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