Individual
MS. AMAYA MORALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15636 94TH ST, HOWARD BEACH, NY 11414-2801
(917) 520-1031
Mailing address
15636 94TH ST, HOWARD BEACH, NY 11414-2801
(917) 520-1031
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
256260
EARLY INTERVENTION PROGRAM
NY
01
—
256260
EARLY INTERVENTION PROGRAM
—
Enumeration date
12/28/2020
Last updated
12/28/2020
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