Individual
AMANDA MORSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12309 ROCKAWAY ST, MALTA, NY 12020-5229
(518) 728-4343
Mailing address
12309 ROCKAWAY ST, MALTA, NY 12020-5229
(518) 728-4343
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
304157-01
NY
Other
Enumeration date
10/26/2023
Last updated
10/26/2023
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