Individual
AMANDA POWER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
64 LOVELL AVE, STATEN ISLAND, NY 10314-4969
(917) 324-1142
Mailing address
64 LOVELL AVE, STATEN ISLAND, NY 10314-4969
(917) 324-1142
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
340483
NY
Other
Enumeration date
08/18/2020
Last updated
08/18/2020
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