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Individual

MS. ANNA MARIE AMODIO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSSPED

Contact information

Practice address
191 BUEL AVENUE, STATEN ISLAND, NY 10305
(646) 875-3355
Mailing address
191 BUEL AVE, STATEN ISLAND, NY 10305-1203
(647) 875-3355

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
859990
NY

Other

Enumeration date
08/16/2012
Last updated
08/16/2012
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