Motisi, Amanda

Motisi, Amanda is an sole proprietor health care provider with primary practice located at 624 Hawkins Ave , Lake Ronkonkoma NY 11779-2375. She recently has only one registered license in Agencies / Early Intervention Provider Agency, which is considered as her primary health care specialty. Motisi, Amanda can be contacted via phone (631) 240-3579.

Contact Information

Primary practice address
624 Hawkins Ave Lake Ronkonkoma NY 11779-2375
Phone: (631) 240-3579
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Agencies / Early Intervention Provider Agency 252Y00000X 1218218 New York

Profile Details

NPI number 1508694258
LBN Legal business name Motisi, Amanda
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 24th, 2024
Last updated Jul 24th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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