Individual
AMANDA RAE TALERICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
275 7TH AVE, 3RD FLOOR, NEW YORK, NY 10001-6708
(646) 660-9999
(646) 778-3485
Mailing address
275 7TH AVE, 3RD FLOOR, NEW YORK, NY 10001-6708
(646) 660-9999
(646) 778-3485
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
22 616794
NY
363LA2200X
Adult Health Nurse Practitioner
Primary
30 306548
NY
Other
Enumeration date
01/21/2014
Last updated
09/22/2014
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