Individual
AMANDA HAYLEY CERAVOLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
525 E 68TH ST # STARR5, NEW YORK, NY 10065-4870
(212) 746-4071
Mailing address
525 E 68TH ST # STREET5, NEW YORK, NY 10065-4870
(212) 746-4071
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
315743
NY
208M00000X
Hospitalist Physician
Primary
315743
NY
Other
Enumeration date
04/06/2020
Last updated
08/23/2023
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