Individual
AMY LEWIS HENNESSY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
17007
NH
207WX0009X
Glaucoma Specialist (Ophthalmology) Physician
17007
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
019616900
—
MD
01
—
123130
GEISINGER HEALTH PLAN
MD
01
—
93408502
BC BS
MD
01
—
DH0987
MEDICARE RAILROAD
MD
Enumeration date
05/21/2007
Last updated
07/21/2022
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