Individual
ANITA G AMIDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
600 FRENCH RD, NEW HARTFORD, NY 13413-1037
(315) 738-1662
Mailing address
111 JUBILEE LN, NEW HARTFORD, NY 13413-4401
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
204344-1
NY
Other
Enumeration date
04/25/2007
Last updated
07/08/2007
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