Individual
AMANDA MARIE DECAROLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
1651 ONEIDA ST, UTICA, NY 13501-4866
(315) 793-7600
Mailing address
2429 CHENANGO RD, UTICA, NY 13502-5908
(315) 793-7620
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
624441-1
NY
Other
Enumeration date
04/20/2018
Last updated
04/20/2018
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