Individual
MS. AMY LYDIA DRUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPT
Contact information
Practice address
149 MADISON AVE, RENEW PHYSICAL THERAPY STE 903, NEW YORK, NY 10016-6713
(212) 213-4660
Mailing address
140 8TH AVE, APT 3-H, BROOKLYN, NY 11215-1767
(718) 789-8879
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
027961
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
027961
NEW YORK STATE LICENSE
NY
Enumeration date
02/19/2008
Last updated
02/19/2008
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