Individual
MS. AMY ELIZABETH LOGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1275 YORK AVE, ROOM C883, NEW YORK, NY 10021-6007
(212) 639-3925
(212) 717-3257
Mailing address
29 W 65TH ST, APARTMENT 3D, NEW YORK, NY 10023-6630
(212) 724-1201
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
F304181-1
NY
363LG0600X
Gerontology Nurse Practitioner
Primary
F340616-1
NY
Other
Enumeration date
01/30/2007
Last updated
09/11/2025
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