Individual
AMY ELIZABETH FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 W DOMINICK ST, ROME, NY 13440-5846
(315) 339-6536
Mailing address
1604 YORK ST, UTICA, NY 13502-4937
(928) 241-8526
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
031462
NY
Other
Enumeration date
12/28/2023
Last updated
12/28/2023
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