IndividualActive
Amanda Grottola
NPI 1114657954 · Specialist · Westbury, NY
Provider details
- NPI number
- 1114657954
- Entity type
- Individual
- Primary specialty
- SpecialistOther Service Providers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Other Service Providers
Practice location
1400 Old Country Rd Ste C103n
Westbury, NY 11590-5156
Phone: (516) 990-2859
Approximate (ZIP-level) locationGet directions
Mailing address
4 Cabin Ln
East Setauket, NY 11733-3403
Registry dates
- Enumerated
- 2022-06-14
- Last updated
- 2022-06-14
- Certified
- 2022-06-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.