Individual
MS. CHRISTY J AMIDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
118 FREDERICK DR, LIVERPOOL, NY 13088-6205
(315) 569-2716
Mailing address
118 FREDERICK DR, LIVERPOOL, NY 13088-6205
(315) 569-2716
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
297781-1
NY
Other
Enumeration date
08/13/2010
Last updated
08/13/2010
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