Individual
MRS. AMANDA MARIA KORONEOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1400 PELHAM PARKWAY SOUTH, BRONX, NY 10461
(718) 918-5000
Mailing address
1400 PELHAM PARKWAY SOUTH, DEPARTMENT OF NEUROSURGERY, BRONX, NY 10461
(718) 918-5000
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
020323
NY
363AS0400X
Surgical Physician Assistant
020323-1
NY
Other
Enumeration date
10/28/2016
Last updated
06/15/2018
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