Individual
MRS. AMANDA LONGO-GOLLINGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
100 DUFFY AVE STE 510, HICKSVILLE, NY 11801-3636
(516) 737-1454
Mailing address
11 COLLFIELD AVE, STATEN ISLAND, NY 10302-2417
(917) 974-0522
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
010541
NY
Other
Enumeration date
01/11/2021
Last updated
01/11/2021
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