Individual provider · Type 1 NPI

Amanda J. Park

Specialist · Hewlett, NY

NPI number 1285104331 Active

Practice location

291 Channon Rd
Hewlett, NY 11557-2701

Call (516) 287-7092 Map

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X828359 (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 1285104331

Amanda J. Park's National Provider Identifier is 1285104331, issued on Dec 3, 2018. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Hewlett, NY. The record was last updated on Dec 3, 2018.