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General NPI Number Information
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NPI Number | 1477018869
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Entity Type | Individual
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Provider Name | AMANDA JOSEPH MD
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Gender | Female
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Dates
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Enumeration Date | 02/10/2019
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Last Update Date | 02/02/2026
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Provider Practice Location Address
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Address Line | 8900 VAN WYCK EXPY
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City | JAMAICA
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State | NY
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Zip | 11418-2832
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Country | US
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Telephone | 516-200-1835
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Fax | 516-862-3126
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Provider Business Mailing Address
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Address Line | 8900 VAN WYCK EXPRESSWAY PSYCHIATRY ADMINISTRATION
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City | JAMAICA
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State | NY
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Zip | 11418
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Country | US
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Telephone | 516-200-1835
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Fax | 516-862-3126
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 323585
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License Number State | NY
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