Individual provider · NPI-1

Tala Abu Rahma

Clinic/Center, Mental Health (Including Community Mental Health Center) · New York, NY

NPI number1669191086
StatusActive
Last updated in NPPESAug 29, 2022

Details

NPI
1669191086
Entity type
Individual (NPI-1)
Name
Tala Abu Rahma
Sex
Female
Sole proprietor
Yes
Enumeration date
Aug 29, 2022
Certification date
Aug 26, 2022
Last updated
Aug 29, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)––Yes

Practice location

7 W 30th St
New York, NY 10001-4406

Phone 212-725-7850

Mailing address

64 E 3rd St Apt 1
Brooklyn, NY 11218-1022

Phone 332-254-3588

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