Individual
ADAM ALY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
10814 72ND AVE, #2FL, FOREST HILLS, NY 11375-5301
(585) 764-0654
Mailing address
10814 72ND AVE STE 2, FOREST HILLS, NY 11375-5301
(585) 764-0654
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
125412
NY
104100000X
Social Worker
Primary
125412
NY
Other
Enumeration date
11/04/2024
Last updated
04/02/2026
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