Individual
AMY ILARDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
86 STATE ST, PHOENIX, NY 13135-2273
(315) 529-3585
Mailing address
86 STATE ST, PHOENIX, NY 13135-2273
(315) 529-3585
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
669715
NY
163WP0808X
Psychiatric/Mental Health Registered Nurse
669715
NY
171400000X
Health & Wellness Coach
—
—
246ZE0500X
EEG Specialist/Technologist
Primary
—
NY
Other
Enumeration date
03/26/2024
Last updated
03/31/2025
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