Individual
AMANDA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1855 RICHMOND AVE, STATEN ISLAND, NY 10314-3940
(914) 262-1555
Mailing address
88 CHANDLER AVE, STATEN ISLAND, NY 10314-2925
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F352364
NY
Other
Enumeration date
10/09/2023
Last updated
07/29/2025
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