Individual
AMANDA LEE MCDERMOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
104 UNION AVE STE 904, SYRACUSE, NY 13203-1845
(315) 703-5108
Mailing address
105 SCOTT LN, LIVERPOOL, NY 13088-5433
(315) 663-5145
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
347686
NY
Other
Enumeration date
10/28/2021
Last updated
10/28/2021
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