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-- STELLA AMANZE --

Individual Provider (NPI-1) Active

Physician Assistant, Surgical

Provider Information

NPI Number
1891953238
Provider Type
Individual Provider (NPI-1)
Status
Active

Contact & Location

Address
966 PROSPECT AVE, BRONX, NY, 104592904
Phone
(718) 842-1412

Specialties & Taxonomies

Physician Assistant, Surgical Primary License: NY #005440

All Addresses

MAILING

2 PANNICK DR

HAMILTON, NJ, 086101128

LOCATION

966 PROSPECT AVE

BRONX, NY, 104592904

(718) 842-1412