Individual
MS. AMEDEA INCORVAIA-TAMBLYN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
808 UNION ST # 5, BROOKLYN, NY 11215-1374
(718) 283-4366
Mailing address
417 2ND ST, BROOKLYN, NY 11215-2403
(917) 775-1594
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
032538
NY
Other
Enumeration date
10/20/2021
Last updated
10/20/2021
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