Most Relevant Information
Provider Data
| NPI Number: | 1003340282 |
| Provider Name: | AMANDA DUKE-PEREZ LPN |
| Entity Type: | Individual |
| Taxonomy Code: | 164W00000X |
| Specialty: | Licensed Practical Nurse |
| License Number: | 328298 |
Most Important Dates
| Enumeration Date: | 04/14/2017 |
| Last Updated: | 04/14/2017 |
Provider Practice Location
1101 MAIN ST
C/O WJCS
PEEKSKILL
NY
105662907
Practice Location Phone/Fax
| Phone: | 9147377338 |
| Fax: | 9147371050 |
Provider Mailing Location
1101 MAIN ST
C/O WJCS
PEEKSKILL
NY
105662907
Provider Mailing Phone/Fax
| Phone: | 9147377338 |
| Fax: | 9147371050 |