Individual
MRS. AMANDA IRENE LOOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. ED
Contact information
Practice address
597 3RD AVE, TROY, NY 12182-2509
(518) 233-0544
(518) 233-0703
Mailing address
15 PLANK RD, TROY, NY 12182-4113
(845) 283-5667
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1274866
NY
Other
Enumeration date
10/17/2012
Last updated
10/17/2012
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