Individual
AMANDA MOHAMMED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1259 BOYNTON AVE, BRONX, NY 10472
(347) 791-9305
Mailing address
1259 BOYNTON AVE, BRONX, NY 10472
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/24/2016
Last updated
03/24/2016
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