Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Amanda Antonacci

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1376393728

Amanda Antonacci is a Student in an Organized Health Care Education/Training Program in Stony Brook, New York. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

101 Nicolls Rd
Stony Brook, NY 11794-0001
Phone: (631) 689-8333
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1376393728
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 26, 2024
Last updated in NPPESMarch 26, 2024
Certification dateMarch 24, 2024
Mailing address101 Nicolls Rd, Stony Brook, NY 11794-0001

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