Individual
AMY ELIZABETH MUMFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4 JEFFERSON PLZ FL 2, POUGHKEEPSIE, NY 12601-4035
(845) 473-5900
(845) 473-6692
Mailing address
4 JEFFERSON PLZ FL 2, POUGHKEEPSIE, NY 12601-4035
(845) 473-5900
(845) 473-6692
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
335261-01
NY
Other
Enumeration date
06/22/2023
Last updated
06/22/2023
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