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Individual

MRS. AMY SUE NUFFER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
10122 THIRD RD, CASTORLAND, NY 13620-1276
(315) 681-8881
Mailing address
10122 THIRD RD, CASTORLAND, NY 13620-1276
(315) 681-8881

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
208358
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02663909
NY
Enumeration date
05/24/2007
Last updated
07/09/2007
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