Individual
AMANDY PATINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
88 PROPOSE RD, SHIRLEY, NY 11967-3514
(347) 523-1687
Mailing address
88 PROPOSE RD, SHIRLEY, NY 11967-3514
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
323562
NY
Other
Enumeration date
01/22/2016
Last updated
11/07/2023
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