Individual
AMANDA KATE LIVOLSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
258 HOOSICK ST STE 106, TROY, NY 12180-2446
(518) 271-1331
Mailing address
258 HOOSICK ST STE 106, TROY, NY 12180-2446
(518) 271-1331
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
024095
NY
363A00000X
Physician Assistant
—
—
Other
Enumeration date
10/08/2019
Last updated
03/04/2020
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