Individual
AMANDA NARRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS SP ED
Contact information
Practice address
27 CONSTANCE CT, WEST ISLIP, NY 11795-4554
(631) 539-4808
Mailing address
27 CONSTANCE CT, WEST ISLIP, NY 11795-4554
(631) 539-4808
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
06/05/2012
Last updated
01/02/2013
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