Individual
AMY LEE QUACKENBUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
73 N MAIN ST STE 106, GLOVERSVILLE, NY 12078-3043
(518) 319-7978
(518) 514-1521
Mailing address
73 N MAIN ST STE 106, GLOVERSVILLE, NY 12078-3043
(518) 319-7978
(518) 514-1521
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
329563
NY
Other
Enumeration date
12/21/2021
Last updated
12/21/2021
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