Individual
AMANDA FROST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
201 W MADISON AVE, JOHNSTOWN, NY 12095-2806
(518) 762-4548
(518) 736-1570
Mailing address
201 W MADISON AVE, JOHNSTOWN, NY 12095-2806
(518) 762-4548
(518) 736-1570
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
038646-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00394849
—
NY
01
—
10035694
CDPHP
NY
01
—
353581
MVP
NY
01
—
Q44191
EBCBS
NY
Enumeration date
01/03/2017
Last updated
01/03/2017
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