Individual
AMANDA I REKAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17 WILDWOOD DR, DIX HILLS, NY 11746-6035
(631) 767-7096
Mailing address
17 WILDWOOD DR, DIX HILLS, NY 11746-6035
(631) 767-7096
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1307289
NY
Other
Enumeration date
11/26/2024
Last updated
11/26/2024
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