Individual
AMELIA BRADLEY LEGARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
6339 MILL ST, RHINEBECK, NY 12572-1427
(845) 871-1000
Mailing address
49 MONTGOMERY ST, P.O. BOX 240, TIVOLI, NY 12583-5713
(845) 546-1665
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
679850
NY
Other
Enumeration date
08/05/2015
Last updated
08/05/2015
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