Individual
AMANDA MAE FINNERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
120 PARK LANE RD STE A202, NEW MILFORD, CT 06776-2445
(860) 354-9321
Mailing address
120 PARK LANE RD STE A202, NEW MILFORD, CT 06776-2445
(860) 354-9321
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
023545
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
023545
NYS LICENSE
NY
01
—
6016
CT LICENSE
CT
Enumeration date
07/01/2019
Last updated
09/14/2023
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