Amanda Motisi
NPI #1508694258 in Lake Ronkonkoma, New York
Provider Information
- NPI Number
- 1508694258
- Entity Type
- Individual
- Name
- Amanda Motisi
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Early Intervention Provider Agency
- Enumeration Date
- Jul 24, 2024
- Last Updated
- Jul 24, 2024
Practice Location
- Address
- 624 HAWKINS AVE
- City
- Lake Ronkonkoma
- State
- New York
- ZIP Code
- 11779-2375
- Phone
- (631) 240-3579
Specialties & Taxonomy Codes
| Specialty |
|---|
| Early Intervention Provider Agency |
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