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

Amanda Betzold

Individual provider Specialist · NPI 1598455792

Amanda Betzold is a Specialist in Deer Park, New York. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

1014 Grand Blvd Ste 5
Deer Park, NY 11729-5782
Phone: (631) 243-1765
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X

Record details

NPI number1598455792
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 10, 2023
Last updated in NPPESMay 10, 2023
Certification dateMay 10, 2023
Mailing address78 W 12th St, Deer Park, NY 11729-4015

Other providers in Deer Park