Individual
AMANDA DONNELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2090 ADAM CLAYTON POWELL JR BLVD, NEW YORK, NY 10027-4990
(212) 633-9300
Mailing address
590 AVENUE OF THE AMERICAS, NEW YORK, NY 10011-2022
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
104363-1
NY
Other
Enumeration date
04/29/2019
Last updated
04/29/2019
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