Individual
AMANDA MORADEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
751 BRIGGS HWY, ELLENVILLE, NY 12428-5501
(718) 206-2000
(845) 357-5039
Mailing address
751 BRIGGS HWY, ELLENVILLE, NY 12428-5501
(718) 206-2000
(845) 357-5039
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
307195
NY
Other
Enumeration date
03/27/2019
Last updated
03/01/2022
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