Amanda O Dina

NPI 1124357959 - Custodial Care Facility - 311ZA0620X

NPI Details
NPI 1124357959
Enumeration Date 12/07/2009
Last Updated 12/07/2009
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name AMANDA O AMANDA
Position LPN
Phone (315) 395-2250
Fax
Practice Location
1016 OAK ST
SYRACUSE NY, 13203-1250, US
Phone (315) 395-2250
Fax
Business Location
1016 OAK ST
SYRACUSE NY, 13203-1250, US
Phone (314) 395-2250
Fax
Toxanomy
Taxonomy Code 311ZA0620X
License State New York
License Number 2978261
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According to our database, Amanda O Dina NPI is 1124357959, taxonomy code is 311ZA0620X and license number is 2978261, license state is located at New York. Amanda O Dina physically located at 1016 Oak St, Syracuse NY, 13203-1250. NPI Number 1033115704 has the healthcare provider type.

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1124357959 NPI number is provided on an as is basis without warranty of any kind. 1124357959 is maintained by the National Plan & Provider Enumeration System. The contents of Amanda O Dina are for informational purposes only.