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AMANDA KRISTINE PHUA
NPI 1114370723
Specialist in Bohemia, NY

Active since July 19, 2016
888 SAYVILLE AVE, BOHEMIA, NY 11716(631) 839-9944 Get Directions Write a Review

NPPES record last updated: July 19, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Amanda Kristine Phua NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMANDA KRISTINE PHUA (NPI 1114370723) is an individual specialist in Bohemia, New York, licensed in New York (1211549) and active in the NPI registry since July 2016.

NPPES Registry Identity

NPI1114370723
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameAMANDA KRISTINE PHUA
Location Address888 SAYVILLE AVEBohemia, NY 11716-4318
Mailing Address888 Sayville AveBohemia, NY 11716-4318 · (631) 839-9944
Phone(631) 839-9944
Sole ProprietorNo
Enumeration DateJuly 19, 2016
✔ NPI 1114370723 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in NY · 1211549
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
888 SAYVILLE AVE, Bohemia, NY 11716
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amanda Phua's NPI number?

The NPI number for Amanda Phua is 1114370723. It was assigned to this individual provider in the NPPES registry on July 19, 2016.

Where is Amanda Phua located?

Amanda Phua practices at 888 Sayville Ave, Bohemia, NY 11716. The listed phone number is (631) 839-9944.

What is Amanda Phua's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Amanda Phua was last updated on July 19, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.