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Individual

AMANDA CAROLE BERG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BSN, RN, MSN

Contact information

Practice address
5645 MAIN ST, FLUSHING, NY 11355-5045
(718) 670-2000
Mailing address
5645 MAIN ST, FLUSHING, NY 11355-5045
(718) 670-2000

Taxonomy

Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
719844
NY
363LA2100X
Acute Care Nurse Practitioner
009979
CT
363LA2100X
Acute Care Nurse Practitioner
Primary
432100
NY

Other

Enumeration date
07/29/2021
Last updated
07/24/2023
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