Individual
AMY SUE BRULLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
4 HOWARD ST, KIRKWOOD, NY 13795-1129
(570) 604-3019
(570) 604-3019
Mailing address
4 HOWARD ST, KIRKWOOD, NY 13795-1129
(570) 604-3019
(570) 604-3019
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
299450-01
NY
Other
Enumeration date
07/16/2025
Last updated
07/16/2025
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