Amanda Jessica Candiloro, LPN | |
121 Oak St, Medford, NY 11763-4093 | |
(631) 504-2173 | |
Not Available |
Full Name | Amanda Jessica Candiloro |
---|---|
Gender | Female |
Speciality | Licensed Practical Nurse |
Location | 121 Oak St, Medford, New York |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1790200244 | NPI | - | NPPES |
320196 | Other | NY | THE STATE EDUCATION DEPARTMENT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
164W00000X | Licensed Practical Nurse | 320196 (New York) | Primary |
Mailing Address | Practice Location Address |
---|---|
Amanda Jessica Candiloro, LPN 121 Oak St, Medford, NY 11763-4093 Ph: (631) 504-2173 | Amanda Jessica Candiloro, LPN 121 Oak St, Medford, NY 11763-4093 Ph: (631) 504-2173 |
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