Individual
AMY NAKARANURUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
110 HO PLZ, ITHACA, NY 14853-3102
(607) 255-5155
Mailing address
110 HO PLZ, ITHACA, NY 14853-3102
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
686145-1
NY
Other
Enumeration date
11/23/2021
Last updated
11/23/2021
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