Individual
AMANDA ERHABOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1 WHITEHALL ST, 9TH. FOOR, NEW YORK, NY 10004-2109
(212) 741-0100
Mailing address
915 CASTLETON AVE, STATEN ISLAND, NY 10310-1812
(347) 577-3696
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
314899
NY
Other
Enumeration date
09/15/2013
Last updated
09/15/2013
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