Individual
AMY L HETTRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
848 ROUTE 50, BURNT HILLS, NY 12027
(518) 831-1500
(518) 377-1677
Mailing address
PO BOX 569, 848 ROUTE 50, BURNT HILLS, NY 12027-0569
(518) 831-1500
(518) 377-1677
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
005898
NY
364SA2200X
Adult Health Clinical Nurse Specialist
Primary
005898
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02554974
—
NY
Enumeration date
11/01/2006
Last updated
03/16/2017
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