Individual
AMANDA FRIDRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
134 GREAT EAST NECK RD, WEST BABYLON, NY 11704-8027
(631) 422-4800
Mailing address
47 HOWARD ST, PATCHOGUE, NY 11772-2516
(631) 742-4327
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
P110380
NY
Other
Enumeration date
08/04/2021
Last updated
08/04/2021
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