Individual
MRS. AMY MARLENE ELKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8189 TOLL GATE RD, CICERO, NY 13039-8240
(518) 441-3690
Mailing address
8189 TOLL GATE RD, CICERO, NY 13039-8240
(518) 441-3690
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
645811-1
NY
Other
Enumeration date
06/07/2012
Last updated
06/07/2012
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