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1730555145
AMANDA MEDVEDOVSKY
STATEN ISLAND, NY
NPI
1730555145
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NY 33338583)
Enumeration Date
2015-08-19
Last Update Date
2015-08-19
Business Address
-- AMANDA MEDVEDOVSKY FNP-C
647 LAMOKA AVE
STATEN ISLAND, NY 10312-3435
Phone number: 718-494-1715
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Mailing Address
-- AMANDA MEDVEDOVSKY FNP-C
647 LAMOKA AVE
STATEN ISLAND, NY 10312-3435
Phone number: 718-494-1715
Copy
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