Individual
MISS AMANDA ROSE MIHELIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.A
Contact information
Practice address
300 GARDEN CITY PLZ, GARDEN CITY, NY 11530-3302
(516) 747-9030
Mailing address
1217 CHICAGO AVE, BAY SHORE, NY 11706-5801
(516) 356-7375
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1292220
NY
Other
Enumeration date
09/17/2012
Last updated
09/17/2012
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