Individual
AMANDA CANNIZZARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
7 PALMER AVE, HOLTSVILLE, NY 11742-1510
(631) 438-7122
Mailing address
7 PALMER AVE, HOLTSVILLE, NY 11742-1510
(631) 438-7122
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
312410
NY
Other
Enumeration date
08/04/2025
Last updated
08/04/2025
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