Individual
AMANDA EMMERICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
790 PARK AVE, HUNTINGTON, NY 11743-4516
(631) 427-3700
Mailing address
8 PHYLLIS DR, EAST NORTHPORT, NY 11731-6416
(631) 639-4203
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
015477
NY
Other
Enumeration date
02/01/2023
Last updated
04/02/2025
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