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NPI Code Detail

MEDICARE: AMANDA-MARIE DEMAYO

MEDICARE: AMANDA-MARIE DEMAYO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101Y00000XCounselor37PC00825300NJ

General Provider Information

NPI Number : 1134790702
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMANDA-MARIE DEMAYO
Provider Business Mailing Address
First Line : 6 EUGENE PL
Second Line :
City : HOPATCONG
State : NJ
Zip : 07843-1605
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 221 RIVER ST STE 9
Second Line :
City : HOBOKEN
State : NJ
Zip : 07030-5990
Country : US
Telephone Number : 800-878-4445
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/06/2021
Last Update Date : 05/05/2026

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Directions to “ AMANDA-MARIE DEMAYO ” Practice Location

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