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Individual

AMANDA JEAN COSTEA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
AGACNP

Contact information

Practice address
100 E 77TH ST, NEW YORK, NY 10075-1850
(212) 434-2000
Mailing address
100 E 77TH ST, NEW YORK, NY 10075-1850

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
432347
NY

Other

Enumeration date
07/18/2022
Last updated
08/16/2023
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