Individual
AMANDA DAWN ALBANESE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S
Contact information
Practice address
9 THRUSH DR, SMITHTOWN, NY 11787-3320
(631) 724-0822
Mailing address
9 THRUSH DR, SMITHTOWN, NY 11787-3320
(631) 724-0822
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
NY
Other
Enumeration date
08/02/2016
Last updated
08/23/2016
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