Individual
AMANDA PIDGEON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPAC
Contact information
Practice address
STONY BROOK UNIVERSITY MEDICAL CTR, HSC LEVEL 12, RM 080, STONY BROOK, NY 11794-8122
(631) 444-1116
(631) 444-1535
Mailing address
STONY BROOK UNIVERSITY MEDICAL CTR, HSC LEVEL 12, RM 080, STONY BROOK, NY 11794-8122
(631) 444-1116
(631) 444-1535
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
010224
NY
Other
Enumeration date
06/12/2006
Last updated
07/08/2007
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