Individual
AMY LYNN HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
29 LEROY STREET, POTSDAM, NY 13676
(315) 265-2000
Mailing address
29 LEROY STREET, POTSDAM, NY 13676
(315) 265-2000
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
294017
NY
Other
Enumeration date
03/26/2012
Last updated
03/26/2012
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