Individual
ANNAE ALISE AMAZAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20 SICKLES AVE, NEW ROCHELLE, NY 10801-4030
(914) 406-1929
Mailing address
20 SICKLES AVE, NEW ROCHELLE, NY 10801-4030
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
350877
NY
Other
Enumeration date
11/11/2024
Last updated
11/11/2024
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