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Individual

AMY DODD

Active
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Individual

AMY DODD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
012440
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000405911001
BLUE SHIELD OF NORTHEASTE
NY
01
10028414
CDPHP
NY
01
2594892
AETNA HMO
NY
01
43841
MVP
NY
01
4635893
AETNA PPO
NY
01
Q24081
EMPIRE BLUE CROSS
NY
Enumeration date
04/13/2006
Last updated
07/09/2007
Update your record

If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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