Individual
MR. AMAL WAHIB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
64 CALIFORNIA ST, LONG BEACH, NY 11561-1607
(917) 699-9257
Mailing address
64 CALIFORNIA ST, LONG BEACH, NY 11561-1607
(917) 699-9257
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
0000972-1
NY
Other
Enumeration date
01/10/2013
Last updated
01/10/2013
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