Individual
AMY SHUART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5681 UNIONVILLE RD, BATH, NY 14810-8252
(607) 776-5870
Mailing address
5681 UNIONVILLE RD, BATH, NY 14810-8252
(607) 776-5870
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
10 276851
NY
Other
Enumeration date
12/14/2007
Last updated
12/14/2007
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