Individual
AMANDA BERETTA REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-S
Contact information
Practice address
350 E 76TH ST APT 1C, NEW YORK, NY 10021-2544
(407) 247-8508
Mailing address
350 E 76TH ST APT 1C, NEW YORK, NY 10021-2544
(407) 247-8508
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/19/2026
Last updated
01/19/2026
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