Individual
AMANDA MARCUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
420 JERICHO TPKE, JERICHO, NY 11753-1344
(516) 241-6029
Mailing address
144 JERVIS AVE, FARMINGDALE, NY 11735-2426
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
P131949
NY
Other
Enumeration date
08/06/2025
Last updated
08/06/2025
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