Individual
AMANDA FONTANEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1 BIRCHWOOD CT APT 2D, MINEOLA, NY 11501-4501
(516) 615-3121
Mailing address
1 BIRCHWOOD CT APT 2D, MINEOLA, NY 11501-4501
(516) 615-3121
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
01/18/2025
Last updated
01/18/2025
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