Individual
AMANDA CAPUTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
259 1ST ST, MINEOLA, NY 11501-3957
(516) 663-2829
Mailing address
2566 CEDAR ST, EAST MEADOW, NY 11554-2112
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
020597
NY
Other
Enumeration date
02/06/2017
Last updated
08/08/2022
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