Individual
AMANDA BRONGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4020 CONKLIN RD, RUSHVILLE, NY 14544-9706
(315) 879-1694
Mailing address
4020 CONKLIN RD, RUSHVILLE, NY 14544-9706
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
632290
NY
Other
Enumeration date
04/01/2025
Last updated
04/01/2025
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