Individual
MS. AMANDA ANNE VAN AUKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
159 W 1ST ST, OSWEGO, NY 13126-2045
(315) 342-9575
Mailing address
8740 N ENTRY RD, BALDWINSVILLE, NY 13027-1534
(315) 263-8303
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
1806960241
NY
174400000X
Specialist
1807015241
NY
Other
Enumeration date
02/03/2025
Last updated
02/03/2025
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