Individual
AMANDA PUPINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
535 E 70TH ST, NEW YORK, NY 10021-4823
(845) 548-2185
Mailing address
535 E 70TH ST, NEW YORK, NY 10021-4823
(646) 797-8964
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F3074181
NY
363LG0600X
Gerontology Nurse Practitioner
F3074181
NY
Other
Enumeration date
10/05/2015
Last updated
04/26/2021
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