Individual
DR. AMITA ATUL BUTALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1617 N JAMES ST STE 900, ROME, NY 13440-2846
(315) 336-8260
(315) 314-8536
Mailing address
2209 GENESEE ST, UTICA, NY 13501-5999
(315) 801-8534
(315) 801-8391
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
187464
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01382732
—
NY
Enumeration date
09/15/2006
Last updated
07/20/2022
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