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Individual

AMANDA HAGGARTY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1 CAMPUS RD, STATEN ISLAND, NY 10301-4495
(719) 390-3100
Mailing address
1 CAMPUS RD, STATEN ISLAND, NY 10301-4495
(718) 390-3100

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary

Other

Enumeration date
03/15/2022
Last updated
03/15/2022
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