Individual
AMANDA NICOLE MALLIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
501 SEAVIEW AVE STE 201, STATEN ISLAND, NY 10305-3400
(718) 226-4940
Mailing address
501 SEAVIEW AVE STE 201, STATEN ISLAND, NY 10305-3400
(718) 226-4940
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
353645
NY
Other
Enumeration date
05/16/2024
Last updated
05/16/2024
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