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MISS AMANDA MARIE DUEFFERT NPI 1700315959


NPI Information

NPI: 1700315959
Provider Name: MISS AMANDA MARIE DUEFFERT
Classification: Specialist - 174400000X
Entity Type: Individual
Address:
128 CHURCH DR
MASTIC BEACH, NY
ZIP 11951
Phone: (631) 395-4161
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MISS Amanda Marie Dueffert is a specialist in Mastic Beach, NY. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. MISS Amanda Marie Dueffert NPI is 1700315959. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

128 CHURCH DR
MASTIC BEACH, NY
ZIP 11951-811
Phone: (631) 395-4161

The enumeration date for this NPI number is 6/9/2017 and was last updated on 6/9/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialistYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.