Individual
MRS. AMANDA LI NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
367 BAY RIDGE PKWY # 1, BROOKLYN, NY 11209-3177
(718) 630-1300
Mailing address
220 GREEN VALLEY RD, STATEN ISLAND, NY 10312-1825
(718) 490-0467
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
342700
NY
Other
Enumeration date
07/17/2020
Last updated
07/17/2020
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