Individual
MS. AMY UTHUP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7 PATRICIA DR, COMMACK, NY 11725-3307
(631) 624-4735
Mailing address
7 PATRICIA DR, COMMACK, NY 11725-3307
(631) 624-4735
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
12/14/2022
Last updated
02/02/2023
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