Organization
AMPLIFY HCA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DETTY CASSANDRE MICHEL (CO-FOUNDER)
(631) 746-7935
Entity
Organization
Contact information
Practice address
100 S JUNIPER ST # 1937, PHILADELPHIA, PA 19107-2703
(631) 746-7935
Mailing address
10 CEDAR AVE, PATCHOGUE, NY 11772-3507
(631) 746-7935
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
06/07/2025
Last updated
06/07/2025
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