Individual
TIA ALCALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
555 BROADHOLLOW RD, MELVILLE, NY 11747-5078
(631) 332-6328
Mailing address
555 BROADHOLLOW RD, MELVILLE, NY 11747-5078
(631) 332-6328
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
NY
Other
Enumeration date
01/02/2020
Last updated
07/15/2023
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