Individual
AMY WATERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
822 FOREST AVE, FULTON, NY 13069-3342
(315) 236-6329
Mailing address
822 FOREST AVE, FULTON, NY 13069-3342
(315) 236-6329
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
687652
NY
Other
Enumeration date
09/06/2016
Last updated
09/06/2016
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