Individual
SANDRA S MAMIS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
RPA-C
Contact information
Practice address
400 GIDNEY AVE, NEWBURGH, NY 12550-3701
(845) 561-1565
(845) 561-1578
Mailing address
400 GIDNEY AVE, NEWBURGH, NY 12550-3701
(845) 561-1565
(845) 561-1578
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
002898
NY
Other
Enumeration date
09/21/2005
Last updated
07/08/2007
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