Individual
AMANDA ROSE DOTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
15 HAMPSHIRE DR, FARMINGDALE, NY 11735-2121
(516) 761-9874
Mailing address
15 HAMPSHIRE DR, FARMINGDALE, NY 11735-2121
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
028640
NY
Other
Enumeration date
08/26/2022
Last updated
08/26/2022
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