Individual
AMANDA RICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1600 7TH AVE, TROY, NY 12180-3410
(518) 270-2609
(518) 270-2973
Mailing address
1600 7TH AVE, TROY, NY 12180-3410
(518) 270-2609
(518) 270-2973
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01426255
—
NY
Enumeration date
03/30/2018
Last updated
06/16/2018
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