Individual
AMANDA ANTIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
46 GREYCOURT AVE, CHESTER, NY 10918-1233
(973) 519-0595
Mailing address
45 WARWICK TPKE, WARWICK, NY 10990-3632
(973) 519-0595
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
980098
NY
164W00000X
Licensed Practical Nurse
332729
NY
Other
Enumeration date
08/10/2018
Last updated
06/30/2025
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