Individual
MRS. AMY ANNE SECOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
17 E GENESEE ST STE 101, AUBURN, NY 13021-4112
(315) 253-5151
(315) 253-0841
Mailing address
821 PRE EMPTION RD STE 300, GENEVA, NY 14456-2061
(315) 787-5310
(315) 787-5314
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
F3322911
NY
207RG0100X
Gastroenterology Physician
F332291-1
NY
363L00000X
Nurse Practitioner
Primary
F332291-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01877930
—
NY
Enumeration date
07/28/2006
Last updated
03/19/2021
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