Individual
AMANDA JANE BUDHRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
22232 FAIRBURY AVE, QUEENS VILLAGE, NY 11428-1926
(347) 433-9777
Mailing address
22232 FAIRBURY AVE, QUEENS VILLAGE, NY 11428-1926
(347) 433-9777
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
129505
NY
Other
Enumeration date
11/26/2025
Last updated
11/26/2025
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