Individual
AMANDA ROSA IRIZARRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
8268 164TH ST, JAMAICA, NY 11432-1104
(718) 883-3000
Mailing address
82-68 164TH ST., QUEENS, NY 11432-3899
(718) 883-3000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
NY
Other
Enumeration date
01/14/2022
Last updated
02/17/2022
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