Individual
AMY MICHELLE DENNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
164 BROAD ST, HAMILTON, NY 13346-9575
(315) 824-4600
Mailing address
164 BROAD ST, HAMILTON, NY 13346-9575
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
309194
NY
Other
Enumeration date
07/08/2019
Last updated
07/08/2019
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