Individual
AVIYANCA PRAKASH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
531 MYRTLE AVE, BROOKLYN, NY 11205-2605
(347) 956-2804
Mailing address
110 STEUBEN ST APT 3C, BROOKLYN, NY 11205-3513
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
09/29/2025
Last updated
01/08/2026
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