Individual
AMANDA MICHELLE RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1283 YORK AVE, NEW YORK, NY 10065-5663
(646) 962-4463
Mailing address
1283 YORK AVE, NEW YORK, NY 10065
(646) 962-4463
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
340576
NY
Other
Enumeration date
01/06/2020
Last updated
08/20/2024
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