Individual provider · Type 1 NPI

Amanda Kristine Phua

Specialist · Bohemia, NY

NPI number 1114370723 Active

Practice location

888 Sayville Ave
Bohemia, NY 11716-4318

Call (631) 839-9944 Map

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X1211549 (NY)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1114370723

Amanda Kristine Phua's National Provider Identifier is 1114370723, issued on Jul 19, 2016. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Bohemia, NY. The record was last updated on Jul 19, 2016.