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Individual

AMANDA MARI AUSTIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
281 1ST AVE, NEW YORK, NY 10003-2925
(212) 420-2000
Mailing address
42 THORNDIKE ST APT 2, SOMERVILLE, MA 02144-2742
(339) 364-9791

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
022324
NY

Other

Enumeration date
07/23/2018
Last updated
07/23/2018
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