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Individual

AMY MORELLI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
1205 TROY SCHENECTADY RD STE 101, LATHAM, NY 12110-1074
(518) 348-3176
Mailing address
53 SPRING ST, SARATOGA SPRINGS, NY 12866-3227
(518) 587-1141

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
0110001729
VA
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
007180
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
010150850
VA
Enumeration date
05/18/2006
Last updated
10/24/2019
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