Individual
MRS. AMBER MARIE BIRKLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
1202 DRIVING PARK AVENUE, NEWARK, NY 14513-1086
(315) 331-2030
(315) 331-4529
Mailing address
1202 DRIVING PARK AVENUE, NEWARK, NY 14513-1086
(315) 331-2030
(315) 331-4529
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0070641
NY
207R00000X
Internal Medicine Physician
7064
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01996616
—
NY
01
—
P019007064
BLUE CHOICE
NY
01
—
PA0047
PREFERRED CARE
NY
Enumeration date
07/28/2006
Last updated
07/05/2023
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