Individual
MS. AMY SHOESMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., F.N.P.
Contact information
Practice address
6171 RTE 23A, TANNERSVILLE, NY 12485
(518) 589-6843
(518) 943-4437
Mailing address
6171 RTE 23A, TANNERSVILLE, NY 12485
(518) 589-6843
(518) 943-4437
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
626609
NY
363LF0000X
Family Nurse Practitioner
Primary
F339344-1
NY
Other
Enumeration date
03/31/2015
Last updated
10/30/2015
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