Individual
AMANDA L STALLINGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14 COTTAGE AVE, NEWBURGH, NY 12550-3326
(184) 550-5185
Mailing address
14 COTTAGE AVE, NEWBURGH, NY 12550-3326
(184) 550-5185
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
168641
NY
Other
Enumeration date
12/18/2023
Last updated
12/18/2023
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