Joanna Rose Amore-Mackney

Individual provider Active NPI Early Intervention Provider Agency · Atlantic Beach, NY

NPI 1114362811 · NPPES record last updated May 8, 2013

Key facts

NPI
1114362811
Entity type
Individual (NPI type 1)
Primary specialty
Early Intervention Provider Agency 252Y00000X
License
335725780 (NY)
Practice address
126 Coronado St
Atlantic Beach, NY 11509-1128
Phone
(516) 610-7900
NPI assigned
May 8, 2013
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
335725780NYMDEarly Intervention Provider Agency

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X 335725780 NY Yes

Addresses

Primary practice location

126 Coronado St
Atlantic Beach, NY 11509-1128

Mailing address

126 Coronado St
Atlantic Beach, NY 11509-1128
Phone (516) 610-7900

Other names

  • Joanna Rose Amore Former name

Other providers in Atlantic Beach, NY

All providers in Atlantic Beach, NY · Early Intervention Provider Agency in New York

Sources for this page

Verify at the official NPI Registry.