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Individual

AMANDA DIPIERRO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
N.P.

Contact information

Practice address
400 PATROON CREEK BLVD, SUITE 1, ALBANY, NY 12206-5013
(518) 489-0044
(518) 489-3591
Mailing address
400 PATROON CREEK BLVD, SUITE 1, ALBANY, NY 12206-5013
(518) 489-0044
(518) 489-3591

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F339652
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
04268773
NY
01
P01575477
RAILROAD MEDICARE
NY
Enumeration date
08/04/2015
Last updated
03/19/2019
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