Individual
MS. AMANDA LYNN DIEP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1000 10TH AVE, NEW YORK, NY 10019-1147
(212) 523-4000
Mailing address
10008 PHOENICIAN WAY, SACRAMENTO, CA 95829-8024
(916) 267-7363
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
022544
NY
363A00000X
Physician Assistant
Primary
58014
CA
Other
Enumeration date
09/06/2018
Last updated
09/09/2021
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