Individual
AMANDA CATHERINE DOMERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
52 CORPORATE CIR, ALBANY, NY 12203-5176
(518) 456-3268
(518) 464-1469
Mailing address
7 EVELYN DR, NASSAU, NY 12123-9752
(617) 780-4417
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
515035111
NY
Other
Enumeration date
12/20/2023
Last updated
12/20/2023
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