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1053600023
AMANDA NEGLIA TIETZER
STATEN ISLAND, NY
NPI
1053600023
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: NY 016666)
Enumeration Date
2011-03-30
Last Update Date
2023-04-05
Business Address
AMANDA NEGLIA TIETZER
8 JOHNSON ST
STATEN ISLAND, NY 10309-1148
Phone number: 718-979-5678
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Mailing Address
AMANDA NEGLIA TIETZER
231 NOEL ST
STATEN ISLAND, NY 10312-6072
Phone number:
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