Individual
AMANDA FUCCI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1530 FRONT ST, EAST MEADOW, NY 11554-2265
(516) 324-7500
Mailing address
2434 WALLEN LN, NORTH BELLMORE, NY 11710-2729
(516) 532-1055
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
004361
NY
Other
Enumeration date
02/22/2022
Last updated
02/22/2022
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