Individual
AMY CHRISTINA MERLOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
159 W 1ST ST, OSWEGO, NY 13126-2045
(315) 342-9575
Mailing address
511 N MANLIUS ST, FAYETTEVILLE, NY 13066-1437
(323) 867-4114
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
04/15/2019
Last updated
04/15/2019
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