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Individual

AMANDA COZZA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-BC

Contact information

Practice address
989 E 149TH ST, BRONX, NY 10455-5021
(917) 647-2639
Mailing address
325 WARD AVE, MAMARONECK, NY 10543-2657
(917) 647-2639

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
356528
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
970471543
DMV LICENSE
NY
Enumeration date
04/09/2025
Last updated
04/09/2025
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