Individual
AMANDA RACHEL ANAYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
270 UNION AVE, HOLBROOK, NY 11741-1823
(631) 588-4442
Mailing address
62 KING ARTHURS CT N, SAINT JAMES, NY 11780-3161
(631) 241-2454
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
F383357-01
NY
Other
Enumeration date
09/12/2022
Last updated
09/12/2022
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