Individual
MISS AMY E OWENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
17 BANK AVE, SMITHTOWN, NY 11787-2703
(631) 265-5300
Mailing address
17 BANK AVE, SMITHTOWN, NY 11787-2703
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
3309931
NY
Other
Enumeration date
01/30/2018
Last updated
01/30/2018
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