Individual
AMNADALIZ ELDAWAITY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4404 QUEENS BLVD FL 2, SUNNYSIDE, NY 11104-2406
(347) 613-9641
Mailing address
4404 QUEENS BLVD FL 2, SUNNYSIDE, NY 11104-2406
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
118881
NY
Other
Enumeration date
11/07/2023
Last updated
11/07/2023
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