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Individual

AMANDA NEILAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS, RN, CPNP

Contact information

Practice address
525 E 68TH ST, NEW YORK, NY 10065-4870
(212) 746-5361
(212) 746-8149
Mailing address
525 E 68TH ST, BOX 94, NEW YORK, NY 10065-4870
(212) 746-5361
(212) 746-8149

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
382865
NY

Other

Enumeration date
10/05/2018
Last updated
10/21/2022
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