Individual
AMANDA CHARLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
45 KNOLLWOOD RD STE 102, ELMSFORD, NY 10523-2806
(212) 687-7464
Mailing address
45 KNOLLWOOD RD STE 102, ELMSFORD, NY 10523-2806
(212) 687-7464
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
951899-01
NY
Other
Enumeration date
03/07/2025
Last updated
03/07/2025
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