Individual
MS. AMANDA S ROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
200 W END AVE, APARTMENT 7N, NEW YORK, NY 10023-4801
(917) 587-6500
Mailing address
200 W END AVE, APARTMENT 7N, NEW YORK, NY 10023-4801
(917) 587-6500
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
399164101
NY
Other
Enumeration date
01/10/2013
Last updated
01/10/2013
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