Individual
AMIA J PINCKNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
243 SOUTH 11TH STREET, NEWARK, NJ 07103-0710
(845) 317-0795
Mailing address
243 SOUTH 11TH STREET, NEWARK, NJ 07107-3396
(845) 317-0795
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/16/2019
Last updated
12/16/2019
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