Individual
DR. AMANDA ELIMIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Credential
MD
Contact information
Practice address
259 1ST ST, MINEOLA, NY 11501-3957
(516) 663-8660
Mailing address
211 STATION RD FL 5, MINEOLA, NY 11501-4205
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/11/2025
Last updated
04/21/2025
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