Individual
AMANDA CIMAFONTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
147 MAIN ST APT 3E, MINEOLA, NY 11501-3989
(631) 525-7751
Mailing address
147 MAIN ST APT 3E, MINEOLA, NY 11501-3989
(631) 525-7751
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
010416-1
NY
Other
Enumeration date
07/23/2020
Last updated
07/23/2020
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