Individual
AMY MCDERMOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
600 NORTHERN BLVD STE 100, GREAT NECK, NY 11021-5200
(516) 482-3223
(516) 482-2553
Mailing address
600 NORTHERN BLVD STE 100, GREAT NECK, NY 11021-5200
(516) 482-3223
(516) 482-2553
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00312200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04705079
—
NY
Enumeration date
11/29/2013
Last updated
01/16/2025
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