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Individual

AMANDA FICACELLI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1559 YORK AVE, NEW YORK, NY 10028-6001
(212) 585-3329
(212) 585-3717
Mailing address
1559 YORK AVE, NEW YORK, NY 10028-6001
(212) 585-3329
(212) 585-3717

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
036.125681
IL
208000000X
Pediatrics Physician
Primary
266954-1
NY

Other

Enumeration date
07/29/2008
Last updated
10/22/2012
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