Individual
MS. AMANDEEP LOI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
630 W 168TH ST, NEW YORK, NY 10032-3725
(212) 305-2500
Mailing address
80 ELLEN ST, NEW BRUNSWICK, NJ 08901-3356
(732) 789-6287
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00432600
NJ
363AM0700X
Medical Physician Assistant
018803
NY
Other
Enumeration date
08/04/2015
Last updated
05/02/2024
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