Individual
AMANDA LUONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
601 W 113TH ST APT 1A, NEW YORK, NY 10025-9701
(212) 326-5705
Mailing address
601 W 113TH ST APT 1A, NEW YORK, NY 10025-9701
(212) 326-5705
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
340759
NY
363LF0000X
Family Nurse Practitioner
RN2269786
MA
Other
Enumeration date
09/18/2012
Last updated
09/15/2016
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