Individual
AMY FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9001 OLD RIVER ROAD, MARCY, NY 13403-0216
(315) 768-8581
(315) 768-8595
Mailing address
PO BOX 216, RIVER ROAD, MARCY, NY 13403-0216
(315) 768-8581
(315) 768-8595
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
551221-1
NY
Other
Enumeration date
01/12/2016
Last updated
01/12/2016
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