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1114776762
AMANDA NICOLE MALLIA
STATEN ISLAND, NY
NPI
1114776762
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NY 353645)
Enumeration Date
2024-05-16
Last Update Date
2024-05-16
Business Address
AMANDA NICOLE MALLIA FNP-BC
501 SEAVIEW AVE STE 201
STATEN ISLAND, NY 10305-3400
Phone number: 718-226-4940
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Mailing Address
AMANDA NICOLE MALLIA FNP-BC
501 SEAVIEW AVE STE 201
STATEN ISLAND, NY 10305-3400
Phone number: 718-226-4940
Copy
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