Individual
AMANDA KROM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1450 ROUTE 4455, CLINTONDALE, NY 12515
(845) 527-5170
Mailing address
1450 ROUTE 4455, CLINTONDALE, NY 12515
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
703892
NY
Other
Enumeration date
05/18/2023
Last updated
05/18/2023
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