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Individual

AMANDA SIBBITTS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
620 MADISON ST, SYRACUSE, NY 13210-2319
(315) 426-3660
Mailing address
620 MADISON ST, SYRACUSE, NY 13210-2319
(315) 426-3660

Taxonomy

Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
746189
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F404139-01
NY

Other

Enumeration date
04/17/2019
Last updated
05/24/2022
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