Individual
AMANDA LONDINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
568 PARK AVENUE, NEW YORK, NY 10068
(212) 593-2600
Mailing address
568 PARK AVENUE, NEW YORK, NY 10068
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
071957-1
NY
Other
Enumeration date
11/17/2015
Last updated
11/17/2015
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