Individual
MRS. AMY LYNNE SHORT-KUCHYNSKAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.ED.
Contact information
Practice address
7 MADISON AVE, NORTH BELLMORE, NY 11710-2629
(516) 557-5384
Mailing address
7 MADISON AVE, NORTH BELLMORE, NY 11710-2629
(516) 557-5384
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
851808
NY
Other
Enumeration date
01/14/2014
Last updated
01/14/2014
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