Individual
AMANDA DISALVO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
950 S OYSTER BAY RD, HICKSVILLE, NY 11801-3511
(516) 822-6111
Mailing address
950 S OYSTER BAY RD, HICKSVILLE, NY 11801-3511
(516) 822-6111
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
NY
Other
Enumeration date
03/30/2021
Last updated
03/30/2021
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