Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YS0200X | School Counselor | 2567815 | NY |
NPI | 1235687930 |
---|---|
Provider Name | Amanda Press |
First Address | Long Beach, NY 11561-4621 |
Second Address | Richmond Hill, NY 11418-1924 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/09/2016 |
Last Update Date | 12/09/2016 |