Individual
AMANDA CZELUSNIAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
48 CRESTWOOD BLVD, FARMINGDALE, NY 11735-5305
(984) 245-9109
Mailing address
48 CRESTWOOD BLVD, FARMINGDALE, NY 11735-5305
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
12/23/2025
Last updated
12/23/2025
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