Individual
AMIN OTHMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4456 AMBOY RD, STATEN ISLAND, NY 10312-3897
(929) 992-6476
Mailing address
4456 AMBOY RD, STATEN ISLAND, NY 10312-3897
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
017129
NY
Other
Enumeration date
11/25/2025
Last updated
11/25/2025
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