Individual
AMANDA VANFOSSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 PLAZA DR STE B, VESTAL, NY 13850-3680
(607) 217-5399
(607) 237-0349
Mailing address
200 PLAZA DR STE B, VESTAL, NY 13850-3680
(607) 217-5399
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
14000044038
NY
Other
Enumeration date
02/15/2017
Last updated
10/06/2017
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