Individual
AMANDA MYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
495 HOFFMAN LN, HAUPPAUGE, NY 11788-3102
(631) 863-3000
Mailing address
118 N EVERGREEN DR, SELDEN, NY 11784-2060
(716) 864-8578
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
735162
NY
Other
Enumeration date
06/12/2019
Last updated
06/12/2019
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