Individual
MRS. AMANDA MISRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
55 W AMES CT, PLAINVIEW, NY 11803-2304
(516) 492-0678
Mailing address
55 W AMES CT, PLAINVIEW, NY 11803-2304
(516) 492-0678
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/16/2021
Last updated
07/16/2021
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