Individual
AMANDA MARIE PUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
98 PARADISE RD, CENTRAL SQUARE, NY 13036-2253
(315) 668-2253
Mailing address
9483 SHADY POND DR, BREWERTON, NY 13029-3350
(315) 402-0321
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
655324
NY
Other
Enumeration date
09/15/2018
Last updated
09/15/2018
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