Individual
AMANDA PAYTON MODY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.ED, R.N.
Contact information
Practice address
4 FLORENCE AVE, BALLSTON LAKE, NY 12019-2717
(518) 577-1222
Mailing address
4 FLORENCE AVE, BALLSTON LAKE, NY 12019-2717
(518) 577-1222
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
751566
NY
374J00000X
Doula
Primary
—
—
Other
Enumeration date
12/05/2011
Last updated
10/13/2021
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