Individual
AMANDA DYBA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
266 W PARK AVE, LONG BEACH, NY 11561-3212
(516) 432-3600
(516) 432-4600
Mailing address
576 BROADHOLLOW RD, MELVILLE, NY 11747-5002
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
028430
NY
Other
Enumeration date
10/02/2023
Last updated
10/02/2023
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