Individual
AMANDA ROGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9420 GUY R BREWER BLVD, JAMAICA, NY 11451-0001
(347) 564-5875
Mailing address
9420 GUY R BREWER BLVD, JAMAICA, NY 11451-0001
(347) 564-5875
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
NY
Other
Enumeration date
03/01/2024
Last updated
03/20/2024
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