Individual
STELLA AMANZE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
966 PROSPECT AVE, BRONX, NY 10459-2904
(718) 842-1412
Mailing address
2 PANNICK DR, HAMILTON, NJ 08610-1128
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
005440
NY
Other
Enumeration date
05/31/2008
Last updated
10/21/2009
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