Individual
AMANDA VESELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1100 E MAIN ST, ENDICOTT, NY 13760-5254
(607) 321-5356
Mailing address
225 HASTINGS AVE, ENDWELL, NY 13760-3215
(607) 321-5356
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
116132
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/21/2019
Last updated
09/13/2022
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