Individual
AMANDA MARIE MEYERRICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
650 HAWKINS AVE STE 7, RONKONKOMA, NY 11779-2366
(631) 737-0055
Mailing address
16 BEECH RD, ROCKY POINT, NY 11778-8915
(631) 664-3144
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
027286
NY
Other
Enumeration date
01/20/2022
Last updated
02/10/2025
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