Individual
CARINA EDITH AMENDOLARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
300 FLATBUSH AVE, BROOKLYN, NY 11217-2812
(718) 622-2000
Mailing address
5505 WOODSIDE AVE APT 312, WOODSIDE, NY 11377-3310
(917) 400-0778
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1783
NY
Other
Enumeration date
06/17/2007
Last updated
07/08/2007
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