Individual
AMANDA BUZZITTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2352 LOUIS KOSSUTH AVE, RONKONKOMA, NY 11779-6325
(631) 873-7338
Mailing address
2352 LOUIS KOSSUTH AVE, RONKONKOMA, NY 11779-6325
(631) 873-7338
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
931923
NY
164W00000X
Licensed Practical Nurse
337943-01
NY
Other
Enumeration date
08/13/2020
Last updated
03/28/2025
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