# AMANDA O DINA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124357959
- **Authorized official:** MS. AMANDA O DINA (LPN)
- **Authorized official phone:** (315) 952-2250

## Contact information

- **Practice address:** 1016 OAK ST, SYRACUSE, NY 13203-1250
- **Practice address phone:** (315) 395-2250
- **Mailing address:** 1016 OAK ST, SYRACUSE, NY 13203-1250
- **Mailing address phone:** (314) 395-2250

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | 2978261 | NY | Yes |

## Other

- **Enumeration date:** 12/07/2009
- **Last updated:** 12/07/2009