Individual
AMANDA SPRINGWALDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15 JERSEY AVE STE 2, PORT JERVIS, NY 12771-2438
(845) 856-6681
Mailing address
2979 STATE ROUTE 209, WURTSBORO, NY 12790-4029
(845) 649-9169
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
072574
NY
Other
Enumeration date
03/27/2025
Last updated
03/27/2025
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