Individual
AMANDA PISARSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
26713 NYS RTE 12, WATERTOWN, NY 13601
(315) 399-9326
Mailing address
26713 NYS RTE 12, WATERTOWN, NY 13601
(315) 399-9326
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
314021-1
NY
Other
Enumeration date
04/22/2016
Last updated
04/22/2016
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