Individual
AMANDA JILL DONLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 STADIUM ROAD STUDENT HEALTH SERVICES 2ND FL, STONY BROOK, NY 11794-2518
(631) 632-6720
Mailing address
21339 40TH AVE, BAYSIDE, NY 11361-2046
(607) 661-7799
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
023292
NY
Other
Enumeration date
04/28/2022
Last updated
04/28/2022
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