Individual
AMANDA HEANING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1 HEALTHY WAY, OCEANSIDE, NY 11572-1551
(516) 417-1774
Mailing address
1 HEALTHY WAY, OCEANSIDE, NY 11572-1551
(516) 417-1774
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
347187
NY
Other
Enumeration date
03/13/2021
Last updated
03/24/2021
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