Individual
AMY DOVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1244 BOSTON AVE, BAY SHORE, NY 11706-4731
(631) 650-5223
Mailing address
1244 BOSTON AVE, BAY SHORE, NY 11706-4731
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
579748-1
NY
Other
Enumeration date
05/20/2015
Last updated
05/20/2015
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