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Amanda Myczkowski
NPI 1356814354 · on the registry since 2019
Practice
- Address
- 151 Burrs Ln
Dix Hills, NY 11746 - Phone
- (631) 219-8474
- Clinicians at this address
- 55
Additional practice sites
- 164 3rd Ave, Brentwood, NY
Registry record
- Primary taxonomy
- 104100000X
104100000X
- Licence states on file
- NULL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-01-02
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York