Individual
CARROLYN SHERRIE AMADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 2ND ST, MORICHES, NY 11955-1021
(631) 721-5146
Mailing address
1 2ND ST, MORICHES, NY 11955-1021
(631) 721-5146
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
739289
NY
Other
Enumeration date
08/16/2023
Last updated
08/16/2023
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