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Individual

AMANDA JANE HODDER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.C.

Contact information

Practice address
25 MOHAWK AVE, SCHENECTADY, NY 12302-2565
(518) 390-2484
(518) 374-0273
Mailing address
25 MOHAWK AVE, SCHENECTADY, NY 12302-2563
(518) 390-2484
(518) 374-0273

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X012008-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
J300044724
PTAN
NY
Enumeration date
06/02/2010
Last updated
02/19/2020
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