Individual
MS. AMANDA AVERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1427 GENESEE ST, UTICA, NY 13501-4343
(315) 798-8868
(315) 733-7105
Mailing address
1427 GENESEE ST, UTICA, NY 13501-4343
(315) 798-8868
(315) 733-7105
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
382062
NY
Other
Enumeration date
06/20/2009
Last updated
09/15/2014
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