Individual
MS. AMANDA CABAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
573 40TH ST, BROOKLYN, NY 11232-3003
(347) 302-2550
Mailing address
573 40TH ST, BROOKLYN, NY 11232-3003
(347) 302-2550
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
2648133
NY
Other
Enumeration date
02/09/2023
Last updated
02/09/2023
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