Individual
AMANDA DENZLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
770 GRAND BLVD, DEER PARK, NY 11729-5750
(631) 877-1700
Mailing address
313 PAUMANAKE AVE, WEST ISLIP, NY 11795-2817
(516) 260-2676
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
05/09/2024
Last updated
05/09/2024
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