IndividualActive
Amanda Malandruccolo
NPI 1174406045 · Mental Health Counselor · Massapequa, NY
Provider details
- NPI number
- 1174406045
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- P137255 (NY)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
727 N Broadway Ste C1
Massapequa, NY 11758-2348
Phone: (516) 420-4226
Approximate (ZIP-level) locationGet directions
Mailing address
1891 Leslie Ln
Merrick, NY 11566-5211
Registry dates
- Enumerated
- 2025-07-29
- Last updated
- 2025-07-29
- Certified
- 2025-07-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.