Individual
AMANDA WITZGALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
55 W AMES CT STE 100, PLAINVIEW, NY 11803-2304
(516) 822-6211
Mailing address
55 W AMES CT STE 100, PLAINVIEW, NY 11803-2304
(516) 822-6211
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/26/2023
Last updated
04/26/2023
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