Individual
AMANDA NICOLE BETTING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
301 E MAIN ST, BAY SHORE, NY 11706-8408
(631) 968-3000
Mailing address
18 DELANO PL, WEST BABYLON, NY 11704-7505
(631) 792-3919
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
07/21/2025
Last updated
07/21/2025
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