Individual
AMANDA R MONDESIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.M.
Contact information
Practice address
10 BENTON AVE, MIDDLETOWN, NY 10940-5177
(845) 563-8000
Mailing address
2570 ROUTE 9W STE 10, CORNWALL, NY 12518-1370
(845) 220-3100
(845) 534-2940
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
001512
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03574458
—
NY
Enumeration date
10/08/2012
Last updated
02/17/2025
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