Individual
AMY KIYANITSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
43 NEW SCOTLAND AVE, ALBANY, NY 12208-3412
(518) 262-3290
Mailing address
43 NEW SCOTLAND AVE, ALBANY, NY 12208-3412
(518) 262-3290
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
017920-1
NY
Other
Enumeration date
08/28/2014
Last updated
04/03/2017
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