Individual
AMY SO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
462 1ST AVE FL 7, NEW YORK, NY 10016-9196
(212) 562-5555
Mailing address
7 DEKALB AVE APT 11Q, BROOKLYN, NY 11201-8514
(415) 200-8708
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
F383439-01
NY
Other
Enumeration date
08/15/2023
Last updated
08/15/2023
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