Individual
MS. AMBER ANTONUCCI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
476 1ST ST, NEWBURGH, NY 12550-4203
(845) 565-9475
Mailing address
476 1ST ST, NEWBURGH, NY 12550-4203
(845) 565-9475
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
22557670
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02703217
—
NY
Enumeration date
07/25/2007
Last updated
07/25/2007
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