Individual
AMANDA LAUREN MALANDRUCCOLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
727 N BROADWAY STE C1, MASSAPEQUA, NY 11758-2348
(516) 420-4226
Mailing address
1891 LESLIE LN, MERRICK, NY 11566-5211
(516) 426-7831
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
P137255
NY
Other
Enumeration date
07/29/2025
Last updated
07/29/2025
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