Individual provider · Type 1 NPI

Amanda Nicole Kjeldsen

Specialist · East Islip, NY

NPI number 1164312765 Active

Practice location

109 Keswick Dr
East Islip, NY 11730-3404

Call (631) 235-3794 Map

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

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 1164312765

Amanda Nicole Kjeldsen's National Provider Identifier is 1164312765, issued on Jul 7, 2025. The primary taxonomy on file is Specialist (174400000X), and the practice location is in East Islip, NY. The record was last updated on Jul 7, 2025.