Amanda Detiberus
Amanda Detiberus is a Specialist in Melville, New York. Registered with an NPI since 2016.
- In the registry since
- 2016
Practice location Address checks out
538 Broadhollow Rd 202Melville, NY 11747-3676
Phone: (631) 385-7780
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Specialist (primary) | Taxonomy 174400000X |
|---|
Record details
| NPI number | 1164889598 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | January 15, 2016 |
| Last updated in NPPES | January 15, 2016 |
| Mailing address | 538 Broadhollow Rd, 202, Melville, NY 11747-3676 |
Other providers in Melville
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Nathalie Dagrella
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