Individual
AMANDA EDID JUCA CARDONA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2044 48TH ST APT 2, ASTORIA, NY 11105-1210
(347) 223-6478
Mailing address
20-44 48ST, 2ND FLOOR, ASTORIA, NY 11105
(347) 223-6478
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/29/2017
Last updated
07/21/2022
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