Individual
AMANDA MARION CODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
624 HAWKINS AVE, RONKONKOMA, NY 11779-2375
(631) 240-3579
Mailing address
123 LIBERTY AVE, LINDENHURST, NY 11757-4745
(516) 524-3575
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/27/2022
Last updated
03/27/2022
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