Individual
AMANDA FICACELLI
Active
Individual
AMANDA FICACELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
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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