Most Relevant Information
Provider Data
| NPI Number: | 1003420704 |
| Provider Name: | AMANDA JOY BERMAN LMT |
| Entity Type: | Individual |
| Taxonomy Code: | 225700000X |
| Specialty: | Massage Therapist |
| License Number: | 029362 |
Most Important Dates
| Enumeration Date: | 09/01/2020 |
| Last Updated: | 09/01/2020 |
Provider Practice Location
404 E 79TH ST APT 28C
NEW YORK
NY
100751404
Practice Location Phone/Fax
| Phone: | 5164767255 |
| Fax: |
Provider Mailing Location
404 E 79TH ST APT 28C
NEW YORK
NY
100751404
Provider Mailing Phone/Fax
| Phone: | 5164767255 |
| Fax: |