Individual
AMY S WIRTNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 HOSPITAL DR, LEWISBURG, PA 17837-9350
(570) 522-2640
(570) 768-3921
Mailing address
407 AIRPORT EXEC. PARK, NANUET, NY 10954
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
236945
NY
207P00000X
Emergency Medicine Physician
Primary
MD455734
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02718087
—
NY
Enumeration date
01/10/2007
Last updated
03/12/2019
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