Individual
MRS. AMY BERRETTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C, PMHNP
Contact information
Practice address
25 OLD BRICK RD, NEW CITY, NY 10956-1723
(845) 825-4686
Mailing address
111 MALTESE DR, MIDDLETOWN, NY 10940-2115
(845) 342-4774
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
340057
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
404583
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F340057
LICENSE
NY
Enumeration date
12/15/2015
Last updated
05/17/2024
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