Individual
AMANDA JAYNE DEMARINIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1 HEALTHY WAY, OCEANSIDE, NY 11572-1551
(516) 632-3000
Mailing address
149 RARITAN AVE, STATEN ISLAND, NY 10304-4017
(917) 829-0990
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
773315
NY
363LF0000X
Family Nurse Practitioner
354761
NY
Other
Enumeration date
07/17/2024
Last updated
07/17/2024
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