Individual
AMANDIP SAMRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
1275 YORK AVE, NEW YORK, NY 10065-6007
(212) 639-2000
Mailing address
25427 83RD AVE, GLEN OAKS, NY 11004-1603
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
347458
NY
Other
Enumeration date
08/06/2021
Last updated
08/06/2021
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