Park, Amanda J

Park, Amanda J is an individual health care provider with primary practice located at 291 Channon Rd , Hewlett NY 11557-2701. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Park, Amanda J can be contacted via phone (516) 287-7092.

Contact Information

Primary practice address
291 Channon Rd Hewlett NY 11557-2701
Phone: (516) 287-7092
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 828359 New York

Profile Details

NPI number 1285104331
LBN Legal business name Park, Amanda J
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 3rd, 2018
Last updated Dec 3rd, 2018 - about 8 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.

Request for update

Popular Providers