AMANDA LAUREN MALANDRUCCOLO - NPI 1174406045 - Counselor in Massapequa, NY

Q: What is Amanda Malandruccolo's NPI number?

The NPI number for Amanda Malandruccolo is 1174406045. It was assigned to this individual provider in the NPPES registry on July 29, 2025.

Q: What is Amanda Malandruccolo's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

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About Amanda Lauren Malandruccolo NPPES

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

AMANDA LAUREN MALANDRUCCOLO (NPI 1174406045) is an individual mental health provider in Massapequa, New York, licensed in New York (P137255) and active in the NPI registry since July 2025.

NPPES Registry Identity

NPI1174406045

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameAMANDA LAUREN MALANDRUCCOLO

Location Address727 N BROADWAY STE C1Massapequa, NY 11758-2348

Mailing Address1891 Leslie LnMerrick, NY 11566-5211 · (516) 426-7831

Phone(516) 420-4226

Sole ProprietorNo

Enumeration DateJuly 29, 2025

NPPES CertifiedJuly 29, 2025

✔ NPI 1174406045 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in NY · P137255

727 N BROADWAY STE C1, Massapequa, NY 11758

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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