Amanda Jean Custozzo
Amanda Jean Custozzo is a Student in an Organized Health Care Education/Training Program in Albany, New York. Licensed in New York. Registered with an NPI since 2020.
- Licensed in
- NY
- In the registry since
- 2020
Practice location Address checks out
47 New Scotland Ave Dept OF NeurosurgeryAlbany, NY 12208
Phone: (518) 262-5088
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X · Licence 64280 (NY) |
|---|
Record details
| NPI number | 1083242994 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | March 28, 2020 |
| Last updated in NPPES | March 28, 2020 |
| Certification date | March 28, 2020 |
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