Individual
TAMARA MOHAMMED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
120 GREAT KILLS RD, STATEN ISLAND, NY 10308-2937
(856) 278-0326
Mailing address
120 GREAT KILLS RD, STATEN ISLAND, NY 10308-2937
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
12/07/2018
Last updated
12/07/2018
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