Individual
AMANDA RENAE MUNLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
506 6TH ST # KP4, BROOKLYN, NY 11215-3609
(187) 780-5065
Mailing address
506 6TH ST # KP4, BROOKLYN, NY 11215-3609
(187) 780-5065
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
016394
NY
Other
Enumeration date
02/15/2012
Last updated
11/01/2018
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