Individual
AMANDA FALLAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1988 HYLAN BLVD, STATEN ISLAND, NY 10306-3526
(718) 667-4300
Mailing address
195 PRESCOTT AVE, STATEN ISLAND, NY 10306-3248
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
073308
NY
Other
Enumeration date
10/14/2025
Last updated
10/14/2025
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