Individual
AMANDA DRISCOLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
265 BROADHOLLOW RD, MELVILLE, NY 11747-4833
(631) 450-2353
Mailing address
26 FAIRWAY LN, RONKONKOMA, NY 11779-6129
(631) 521-5497
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
769098
NY
163WS0200X
School Registered Nurse
Primary
769098
NY
Other
Enumeration date
08/05/2025
Last updated
08/05/2025
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