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Kelly Vanessa Amaya
Family Nurse Practitioner in Islandia, New York
NPI 1548801020

Kelly Vanessa Amaya is a Family Nurse Practitioner based in Brentwood, NY and is specialized in Family. Kelly Vanessa Amaya practices in Islandia, NY. The NPI Number for Kelly Vanessa Amaya is 1548801020 and holds a License No. 344697 (New York).

The current practice location address for Kelly Vanessa Amaya is 3001 Expressway Dr N, Islandia, NY and can be reached out via phone at 631-292-6747.

Location: 3001 Expressway Dr N, Islandia, NY, 11717-7409
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1548801020
Provider Name
Kelly Vanessa Amaya
Credential
Provider Entity Type
Individual
Gender
Female
Address
3001 Expressway Dr N, Islandia, NY, 11717-7409
Phone Number
631-292-6747
Fax Number
Provider Enumeration Date
10/04/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3001 Expressway Dr N
City
Islandia
State
New York
Zip
11749-5301
Phone Number
631-292-6747
Fax Number
person
Provider Business Mailing Address Details
Address
3001 Expressway Dr N
City
Islandia
State
New York
Zip
11749-5301
Phone Number
631-292-6747
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
344697 (New York)
Definition
Definition to come...
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