Individual
AMANDA R SPECCHIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
256 MASON AVE, STATEN ISLAND, NY 10305-3408
(718) 226-6400
Mailing address
256 MASON AVE # C, STATEN ISLAND, NY 10305-3408
(718) 226-6400
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
657473-1
NY
363LF0000X
Family Nurse Practitioner
Primary
26NJ01113000
NJ
363LF0000X
Family Nurse Practitioner
344020
NY
Other
Enumeration date
06/27/2019
Last updated
10/04/2024
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