Individual
AMANDA NEGLIA TIETZER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8 JOHNSON ST, STATEN ISLAND, NY 10309-1148
(718) 979-5678
Mailing address
231 NOEL ST, STATEN ISLAND, NY 10312-6072
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
016666
NY
Other
Enumeration date
03/30/2011
Last updated
04/05/2023
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