Individual
AMBER NICOLE BRICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
28 SEYMOUR LANE, MEDFORD, NY 11763
(631) 394-7258
Mailing address
28 SEYMOUR LN, MEDFORD, NY 11763-1061
(631) 394-7258
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
310240-1
NY
Other
Enumeration date
07/19/2012
Last updated
07/19/2012
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