Individual
MISS AMANDA N LAVARCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
530 1ST AVE # 8R, NEW YORK, NY 10016-6402
(212) 263-2950
Mailing address
100 HOBOKEN AVE APT 214, JERSEY CITY, NJ 07310-1155
(201) 696-0102
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
312425
NY
Other
Enumeration date
02/17/2025
Last updated
09/17/2025
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