# MRS. LAURA AMANDA PINO

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1023094794
- **Gender:** F
- **Credential:** MS, PA-C

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | 008803 | NY | — |
| 363A00000X | Physician Assistant | 25MP00097800 | NJ | Yes |
| 363A00000X | Physician Assistant | MA053350 | PA | — |

## Other

- **Enumeration date:** 12/15/2005
- **Last updated:** 10/16/2020