Individual
AMANDA DHILLON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1450 MADISON AVE, NEW YORK, NY 10029-6508
(212) 241-1706
Mailing address
1000 S BROAD ST APT 514, PHILADELPHIA, PA 19146-2253
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
024719
NY
Other
Enumeration date
03/17/2020
Last updated
03/17/2020
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