Individual
AMANDA AMADOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
547 SAW MILL RIVER RD, ARDSLEY, NY 10502-2143
(212) 687-7464
Mailing address
547 SAW MILL RIVER RD, ARDSLEY, NY 10502-2143
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
332460
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
123456
—
NY
Enumeration date
02/28/2019
Last updated
02/28/2019
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