Individual
AMY E BLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
84 BROAD ST, GLENS FALLS, NY 12801-4381
(518) 793-9186
Mailing address
16 NORTHUP DR, QUEENSBURY, NY 12804-2214
(518) 307-2151
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F336494
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03274320
—
NY
Enumeration date
09/27/2010
Last updated
08/15/2013
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