Individual
MISS AMBER RAE GEBHARDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
111 MALTESE DR, MIDDLETOWN, NY 10940-2115
(845) 342-4774
Mailing address
111 MALTESE DR, MIDDLETOWN, NY 10940-2115
(845) 342-4774
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
013604-1
NY
363A00000X
Physician Assistant
25MP00184400
NJ
Other
Enumeration date
08/14/2007
Last updated
11/27/2009
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