Individual
AMANDA JO SILVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
750 PARK PL, LONG BEACH, NY 11561-2110
(516) 536-0800
Mailing address
75 CRESCENT LN, LEVITTOWN, NY 11756-2532
(516) 735-1531
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
047472
NY
Other
Enumeration date
06/06/2007
Last updated
07/08/2007
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