MISS Amanda Marie Dueffert
NPI #1700315959 in Mastic Beach, New York
Provider Information
- NPI Number
- 1700315959
- Entity Type
- Individual
- Name
- MISS Amanda Marie Dueffert
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist
- Enumeration Date
- Jun 9, 2017
- Last Updated
- Jun 9, 2017
Practice Location
- Address
- 128 CHURCH DR
- City
- Mastic Beach
- State
- New York
- ZIP Code
- 11951-1811
- Phone
- (631) 395-4161
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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