Individual
AMANDA MANFREDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
577 LARKFIELD RD, EAST NORTHPORT, NY 11731-4203
(631) 368-0100
Mailing address
84 7TH AVE N, HUNTINGTON STATION, NY 11746-2209
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
058226
NY
Other
Enumeration date
06/10/2014
Last updated
06/10/2014
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