Individual
AMANDA ROPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
18 GRANDVIEW TER, FAR ROCKAWAY, NY 11691-5168
(516) 401-4256
Mailing address
1711 BROOKHAVEN AVE, FAR ROCKAWAY, NY 11691-4406
(718) 869-8000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
803550
NY
Other
Enumeration date
06/22/2021
Last updated
06/22/2021
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