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Individual

MS. AMANDA R MOHAMED

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
2052 TILLOTSON AVE, SUITE 101, BRONX, NY 10475-1560
(718) 671-2100
(718) 671-1269
Mailing address
170 GAILMORE DR, YONKERS, NY 10710-3504
(914) 473-5977

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
665714
NY

Other

Enumeration date
12/12/2013
Last updated
12/12/2013
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