Individual
AMANDA GABRIELLE ALBA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
658 OSCAWANA LAKE RD, PUTNAM VALLEY, NY 10579-1500
(914) 281-0328
Mailing address
658 OSCAWANA LAKE RD, PUTNAM VALLEY, NY 10579-1500
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
NY
Other
Enumeration date
08/11/2017
Last updated
08/11/2017
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