Individual provider · Type 1 NPI

Amanda Medvedovsky, FNP-C

Family Nurse Practitioner · Staten Island, NY

NPI number 1730555145 Active

Practice location

647 Lamoka Ave
Staten Island, NY 10312-3435

Call (718) 494-1715 Map

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X33338583 (NY)

Family Nurse Practitioner: Definition to come...

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About NPI 1730555145

Amanda Medvedovsky, FNP-C's National Provider Identifier is 1730555145, issued on Aug 19, 2015. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Staten Island, NY. The record was last updated on Aug 19, 2015.