Individual
AMANDA NICOLE GUZMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
301 HACKETT BLVD, ALBANY, NY 12208-1963
(518) 525-7600
Mailing address
146 LANCASTER ST APT 4, ALBANY, NY 12210-1917
(631) 905-5392
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/23/2019
Last updated
08/23/2019
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