Individual
AMANDA ELIZABETH BARRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
107 W MAIN ST, EAST ISLIP, NY 11730-2337
(631) 666-1615
Mailing address
41 HAMILTON AVE, NORTH BABYLON, NY 11703-5008
(631) 655-6203
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
107188
NY
Other
Enumeration date
09/13/2022
Last updated
09/13/2022
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