Individual
MRS. JOANNA ROSE AMORE-MACKNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
126 CORONADO ST, ATLANTIC BEACH, NY 11509-1128
(516) 610-7900
Mailing address
126 CORONADO ST, ATLANTIC BEACH, NY 11509-1128
(516) 610-7900
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
335725780
NY
Other
Enumeration date
05/08/2013
Last updated
05/08/2013
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