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Individual

MRS. AMY SUE PICKETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
1411 GENESEE ST, UTICA, NY 13501-4343
(315) 507-5800
(315) 507-5802
Mailing address
7786 TURIN RD, ROME, NY 13440-2144
(315) 533-6701

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
582339
NY
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
582339
NY
163WM0705X
Medical-Surgical Registered Nurse
582339
NY
163WR0400X
Rehabilitation Registered Nurse
582339
NY

Other

Enumeration date
08/18/2009
Last updated
08/18/2009
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