Individual
MS. AMANDA VIRGINIA COWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
235 BLUE POINT AVE, BLUE POINT, NY 11715-1261
(631) 363-5794
Mailing address
12 ARBOR LN, CENTEREACH, NY 11720-2529
(631) 278-9677
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
NY
Other
Enumeration date
07/05/2024
Last updated
07/05/2024
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