Individual
AMANDA KWASNY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2270 CLOVE RD, STATEN ISLAND, NY 10305-1524
(718) 447-6295
Mailing address
312 NEAL DOW AVE, STATEN ISLAND, NY 10314-3128
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
073193
NY
Other
Enumeration date
09/10/2025
Last updated
09/10/2025
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