Individual
AMANDA ABDELDAYEM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
85 SAINT JOSEPHS AVE, STATEN ISLAND, NY 10302-1115
(718) 226-9000
Mailing address
230 MILL RD, STATEN ISLAND, NY 10306-4714
(347) 701-0063
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
09636801
NY
Other
Enumeration date
11/15/2019
Last updated
11/08/2023
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