Individual
MRS. AMANDA MURO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
56 POINTE CIR S, CORAM, NY 11727-1528
(631) 509-0064
Mailing address
56 POINTE CIR S, CORAM, NY 11727-1528
(631) 509-0064
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
174400000X
TEACHER
—
Enumeration date
06/15/2012
Last updated
06/15/2012
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