Individual
MS. AMBER KALINA DART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN; LMT
Contact information
Practice address
536 MAIN STREET UNIT E, CAIRO, NY 12413-1241
(518) 764-2280
Mailing address
21 MAPLECREST RD, HENSONVILLE, NY 12439-5215
(518) 764-2280
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
316665
NY
225700000X
Massage Therapist
Primary
032409
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
316665
LPN
NY
Enumeration date
12/04/2018
Last updated
09/29/2021
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