Individual
MRS. AMANDA MARIE CARRION
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
113 BIRCH RD, KINGS PARK, NY 11754-3234
(516) 403-3130
Mailing address
113 BIRCH RD, KINGS PARK, NY 11754-3234
(516) 403-3130
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
011530
NY
Other
Enumeration date
03/16/2007
Last updated
01/26/2026
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