Individual
MRS. AMY PALMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
5915 MORRIS RD, MARCY, NY 13403-2214
(315) 725-8413
Mailing address
PO BOX 24, REMSEN, NY 13438-0024
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
237646-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01645945
—
NY
Enumeration date
03/30/2007
Last updated
07/09/2007
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