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Individual

AMANDA COUTAIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
630 W 168TH ST, NEW YORK, NY 10032-3725
(212) 305-2500
Mailing address
630 W 168TH ST, NEW YORK, NY 10032-3725

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
803494
NY

Other

Enumeration date
04/14/2021
Last updated
01/11/2022
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