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Individual

AMY D'ANTONIO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
565 ROUTE 25A, MILLER PLACE, NY 11764-2663
(631) 742-1416
Mailing address
1 ARLINGTON COURT, MILLER PLACE, NY 11764
(631) 742-1416

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
087348
NY

Other

Enumeration date
03/06/2017
Last updated
03/06/2017
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