Individual
AMANTICIA JOSEPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
40 OAK DRIVE, SYOSSET, NY 11791
(516) 802-2518
Mailing address
40 OAK DR, SYOSSET, NY 11791-4649
(516) 802-2518
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/08/2017
Last updated
07/21/2022
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