Individual
MRS. AMY SUE FERKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
TSHH, MSED
Contact information
Practice address
3158 TRINITY ST, OCEANSIDE, NY 11572-3239
(516) 603-3836
Mailing address
3158 TRINITY ST, OCEANSIDE, NY 11572-3239
(516) 603-3836
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
252Y00000X
Early Intervention Provider Agency
—
NY
Other
Enumeration date
06/05/2012
Last updated
06/05/2012
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