Individual
AMANDA CAPACI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2126 STATE ROUTE 17K UNIT 2, MONTGOMERY, NY 12549-1996
(845) 754-1614
Mailing address
2126 STATE ROUTE 17K UNIT 2, MONTGOMERY, NY 12549-1996
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
345238
NY
Other
Enumeration date
06/13/2025
Last updated
06/13/2025
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