Individual
AMY A. SUMMERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
DEPARTMENT OF MEDICINE MEDICAL SERVICE GROUP, 1873 WESTERN AVE, SUITE 100, ALBANY, NY 12203
(518) 250-4359
(518) 250-4678
Mailing address
UPSTATE FAMILY & PREVENTIVE MEDICINE, 1873 WESTERN AVE, SUITE 100, ALBANY, NY 12203
(518) 250-4359
(518) 250-4678
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
RN288177
OH
363L00000X
Nurse Practitioner
RN75515
WV
363LF0000X
Family Nurse Practitioner
Primary
338755
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000224473
ANTHEM
OH
Enumeration date
06/27/2006
Last updated
03/24/2026
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