Individual
AMANDA HALWANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4131 RICHMOND AVE, STATEN ISLAND, NY 10312-5633
(718) 554-4284
Mailing address
128 EVERETT AVE, STATEN ISLAND, NY 10309-3539
(347) 415-9257
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
020942
NY
Other
Enumeration date
09/23/2016
Last updated
09/27/2016
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