Most Relevant Information
Provider Data
| NPI Number: | 1003464363 |
| Provider Name: | AMANDA LOUISE MONK EMT-B |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/29/2019 |
| Last Updated: | 07/27/2022 |
Provider Practice Location
5044 42ND ST UNIT 2
SUNNYSIDE
NY
111043128
Practice Location Phone/Fax
| Phone: | 8454908863 |
| Fax: |
Provider Mailing Location
5044 42ND ST UNIT 2
SUNNYSIDE
NY
111043128
Provider Mailing Phone/Fax
| Phone: | 8454908863 |
| Fax: |