Individual
AMANDA TIMPANARO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
44 COURT ST STE 1217, BROOKLYN, NY 11201-4410
(347) 479-1868
Mailing address
40 OAKLAND AVE, PORT JEFFERSON STATION, NY 11776-1412
(772) 224-0703
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
09/19/2025
Last updated
09/19/2025
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