Individual
AMANDA PAGANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
82 LAMBERTS LN, STATEN ISLAND, NY 10314-7210
(718) 477-5479
Mailing address
10 WARDS POINT AVE, STATEN ISLAND, NY 10307-1536
(347) 739-8552
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
353648
NY
Other
Enumeration date
02/09/2024
Last updated
02/09/2024
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