Individual
AMANDA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3376 HANCE RD, BINGHAMTON, NY 13903-5756
(607) 321-4171
Mailing address
3376 HANCE RD, BINGHAMTON, NY 13903-5756
(607) 321-4171
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
341810-01
NY
Other
Enumeration date
04/06/2022
Last updated
04/06/2022
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