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NPI Code Detail

MEDICARE: AMANDA MAREK

MEDICARE: AMANDA MAREK
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
1101YM0800XMental Health Counselor18-P133731-01NY

General Provider Information

NPI Number : 1851105720
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMANDA MAREK
Provider Business Mailing Address
First Line : 83 WOODBINE ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11221-4944
Country : US
Telephone Number : 929-466-3470
Fax Number : 718-691-4971
Provider Business Practice Location Address
First Line : 83 WOODBINE ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11221-4944
Country : US
Telephone Number : 929-466-3470
Fax Number : 718-691-4971
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/03/2025
Last Update Date : 06/02/2026

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