Individual
MS. AMALIA LA PORTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
681 CLARKSON AVE, KINGSBORO PSYCHIATRIC CENTER, BROOKLYN, NY 11203-2125
(718) 388-3075
(718) 388-4468
Mailing address
1114 46TH AVE, APT. 3I, LONG ISLAND CITY, NY 11101-5234
(917) 716-4850
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
071526-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
071526-1
LMSW
NY
Enumeration date
03/11/2008
Last updated
07/01/2010
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