KELLY VANESSA AMAYA

ISLANDIA, NY
NPI1548801020
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: NY  344697)
Enumeration Date2019-10-04
Last Update Date2019-10-04
Business Address
KELLY VANESSA AMAYA
3001 EXPRESSWAY DR N
ISLANDIA, NY 11749-5301
Phone number: 631-292-6747
Mailing Address
KELLY VANESSA AMAYA
815 COMMACK RD
BRENTWOOD, NY 11717-7409
Phone number:
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