Individual
MRS. AMANDA VIGLIANTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
1275 YORK AVE, NEW YORK, NY 10065-6007
(212) 639-8408
Mailing address
1275 YORK AVE, NEW YORK, NY 10065-6007
(646) 612-7257
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
352799
NY
Other
Enumeration date
09/22/2023
Last updated
06/08/2024
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