Individual
AMANDA MAY ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC, MS
Contact information
Practice address
1500 MIDDLE COUNTRY RD, CENTEREACH, NY 11720-3500
(631) 543-1440
(631) 736-7490
Mailing address
994 W JERICHO TPKE STE 104, SMITHTOWN, NY 11787-3211
(631) 543-1440
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X01377
NY
Other
Enumeration date
11/06/2023
Last updated
05/14/2025
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