Individual
AMANDA LEE GOLISANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.N.
Contact information
Practice address
168 WOODSIDE CT, HOLLEY, NY 14470-1050
(585) 331-1810
Mailing address
168 WOODSIDE CT, HOLLEY, NY 14470-1050
(585) 331-1810
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
277099
NY
Other
Enumeration date
06/11/2012
Last updated
06/11/2012
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