Individual
AMY MCELRATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
721 MADISON AVE, ALBANY, NY 12208-3301
(518) 279-2126
Mailing address
721 MADISON AVE, ALBANY, NY 12208-3301
(518) 279-2126
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F403431-01
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
762824688
NYS DMV
NY
Enumeration date
05/05/2021
Last updated
10/13/2021
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