Individual
MS. AMY JO THORBAHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN,BSN
Contact information
Practice address
28 WILLIAM ST, GOUVERNEUR, NY 13642-1405
(315) 287-2811
(315) 287-4743
Mailing address
28 WILLIAM ST, GOUVERNEUR, NY 13642-1405
(315) 287-2811
(315) 287-4743
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
490265 - 1
NY
Other
Enumeration date
12/20/2012
Last updated
12/20/2012
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