Moffettone, Amanda

Moffettone, Amanda is an sole proprietor health care provider with primary practice located at 1000 Main St , Port Jefferson NY 11777-2250. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Moffettone, Amanda can be contacted via phone (631) 296-1113.

Contact Information

Primary practice address
1000 Main St Port Jefferson NY 11777-2250
Phone: (631) 296-1113
Fax: (855) 425-7986
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 111986-01 New York

Profile Details

NPI number 1609455336
LBN Legal business name Moffettone, Amanda
Credentials LMSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 8th, 2021
Last updated Apr 8th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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