Individual
AMANDA M LIVSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C, ATC, MSA
Contact information
Practice address
910 SYLVAN AVE STE 100, ENGLEWOOD CLIFFS, NJ 07632-3308
(201) 569-2770
Mailing address
910 SYLVAN AVE STE 100, ENGLEWOOD CLIFFS, NJ 07632-3308
(201) 569-2770
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0937860
—
NJ
Enumeration date
07/03/2023
Last updated
12/26/2023
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