Individual
AMY CHASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4110 MEDICAL CENTER DR, FAYETTEVILLE, NY 13066-6613
(315) 663-0100
(315) 663-0052
Mailing address
4110 MEDICAL CENTER DR, FAYETTEVILLE, NY 13066-6613
(315) 663-0100
(315) 663-0052
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
356838
NY
Other
Enumeration date
06/02/2025
Last updated
06/02/2025
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