| Amanda C Fennicks, | |
|
1743 Hamburg St, Schenectady, NY 12304 | |
| (518) 847-3305 | |
| Not Available |
| Full Name | Amanda C Fennicks |
|---|---|
| Gender | Female |
| Speciality | Licensed Practical Nurse |
| Location | 1743 Hamburg St, Schenectady, New York |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316207061 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 21810636 (New York) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Amanda C Fennicks, 1743 Hamburg St, Schenectady, NY 12304-4602 Ph: (518) 847-3305 | Amanda C Fennicks, 1743 Hamburg St, Schenectady, NY 12304 Ph: (518) 847-3305 |
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