Individual
AMANDA KHALOO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
34 BRETTON RD, NEW HYDE PARK, NY 11040-3412
(347) 845-5217
Mailing address
34 BRETTON RD, NEW HYDE PARK, NY 11040-3412
(347) 845-5217
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
875143
NY
Other
Enumeration date
01/08/2024
Last updated
01/08/2024
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