Individual
DR. AMANDA SPANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
7956 77TH RD, GLENDALE, NY 11385-7523
(718) 908-4753
Mailing address
7956 77TH RD, GLENDALE, NY 11385-7523
(718) 908-4753
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
067273
NY
Other
Enumeration date
10/17/2020
Last updated
10/17/2020
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