Organization
AMALIA K INC
Active
Organization
AMALIA K INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMALIA KOKALENIOS OTR/L (PRES)
(917) 468-4048
Entity
Organization
Contact information
Practice address
14415 26TH AVE, FLUSHING, NY 11354-1326
(917) 468-4048
Mailing address
14415 26TH AVE, FLUSHING, NY 11354-1326
(917) 468-4048
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
—
—
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
016178
LICENSE
NY
Enumeration date
01/27/2022
Last updated
04/02/2022
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