Individual
AMANDA ASHLEY NEGRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17 BANK AVE, SMITHTOWN, NY 11787-2703
(631) 265-5300
Mailing address
122B RUSTIC RD, CENTEREACH, NY 11720-4091
(347) 426-8161
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
330242
NY
Other
Enumeration date
01/26/2020
Last updated
01/26/2020
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