Most Relevant Information
Provider Data
| NPI Number: | 1003070665 |
| Provider Name: | MATTI ILMARI KALA LMSW |
| Entity Type: | Individual |
| Taxonomy Code: | 104100000X |
| Specialty: | Social Worker |
| License Number: | 074105-1 |
Most Important Dates
| Enumeration Date: | 07/14/2008 |
| Last Updated: | 07/14/2008 |
Provider Practice Location
22005 JAMAICA AVE
QUEENS VILLAGE
NY
114282140
Practice Location Phone/Fax
| Phone: | 7187405000 |
| Fax: | 7184790200 |
Provider Mailing Location
7001 113TH ST
APT. 7F
FOREST HILLS
NY
113754656
Provider Mailing Phone/Fax
| Phone: | 7187930304 |
| Fax: |