Individual
AMANDA CRAVEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
111 E 210TH ST, BRONX, NY 10467-2401
(718) 696-2583
Mailing address
220 S WARREN ST APT 610, SYRACUSE, NY 13202-1684
(203) 885-4782
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/26/2024
Last updated
03/26/2024
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