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Contact Information

AMANDA C DOMERY
52 CORPORATE CIR
ALBANY, NY12203-5176
 Phone: 518-456-3268
 Fax: 518-464-1469
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist/Technologist, Other

246Z00000X
Indicates primary specialty

NPI Profile & details for AMANDA C DOMERY · (Female)

NPI # 1477321370
Status Active
Credentials
Entity Individual
Enumeration date 12/20/2023
Last updated 12/20/2023 - About 2 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 515035111
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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