Individual
AMANDA THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
73A TROY RD, UNIT 2 FIRST FLOOR, EAST GREENBUSH, NY 12061
(518) 449-1142
Mailing address
PO BOX 148, RENSSELAER, NY 12144-0148
(518) 449-1142
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
499600
NY
Other
Enumeration date
11/27/2023
Last updated
11/27/2023
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