Individual
AMANDA GIANNUZZI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
38 4TH AVE, KINGS PARK, NY 11754-4322
(631) 793-1177
Mailing address
38 4TH AVE, KINGS PARK, NY 11754-4322
(631) 793-1177
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
605601
NY
Other
Enumeration date
02/08/2010
Last updated
07/10/2014
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